NPI | 1760821490 |
---|---|
Former Name | JEAN WESTON RUDNICKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD61124156) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125063210) |
207V00000X Obstetrics & Gynecology (Licence: IL 036140247) | |
Enumeration Date | 2013-06-15 |
Last Update Date | 2022-03-24 |