NPI | 1801207634 |
---|---|
Former Name | REBECCA CHRISTINA MUTASCIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA A176526) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A176526) |
207V00000X Obstetrics & Gynecology (Licence: MA 274009) | |
Enumeration Date | 2014-05-14 |
Last Update Date | 2022-04-14 |