NPI | 1801022595 |
---|---|
Former Name | DIANE GODAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101250390) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM MD2021-0687) |
2083A0100X Preventive Medicine, Aerospace Medicine (Licence: VA 0101250390) | |
Enumeration Date | 2009-06-08 |
Last Update Date | 2025-07-10 |