NPI | 1841240504 |
---|---|
Former Name | SUSAN MARIE PLOSZAJ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA G79764) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR MD22835) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2016-05-12 |