NPI | 1780850552 |
---|---|
Former Name | DARA NASSOMA MAURANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101260601) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D0075273) |
207V00000X Obstetrics & Gynecology (Licence: MI 4301083996) | |
Enumeration Date | 2008-05-01 |
Last Update Date | 2021-06-25 |