NPI | 1750505988 |
---|---|
Former Name | JOHANNA GABRIELA GABELA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KS 04-35205) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2011023170) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2022-12-27 |