NPI | 1881896850 |
---|---|
Former Name | MICHELLE MIKI TAKASE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A92628) |
Additional Taxonomies | 2088F0040X Urology Female Pelvic Medicine and Reconstructive Surgery (Licence: CA A92628) |
Enumeration Date | 2007-06-01 |
Last Update Date | 2015-11-05 |