NPI | 1821351396 |
---|---|
Former Name | REGINA AGBOOLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: OH 35.132920) |
Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MI 4301101442) |
Enumeration Date | 2012-06-20 |
Last Update Date | 2022-06-15 |