NPI | 1720018195 |
---|---|
Former Name | MONIQUE GURGEL JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: AZ 31079) |
Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CO DR0055754) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2022-07-21 |