NPI | 1689610339 |
---|---|
Former Name | RENEE PELDUN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: AR E4857) |
Additional Taxonomies | 174400000X Specialist (Licence: AR T2006037) |
Enumeration Date | 2006-06-21 |
Last Update Date | 2022-07-21 |