NPI | 1700142510 |
---|---|
Former Name | MIRIAM ESTHER DARK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX R9192) |
Additional Taxonomies | 174400000X Specialist (Licence: LA MD.206411) |
Enumeration Date | 2012-04-05 |
Last Update Date | 2022-01-25 |