NPI | 1922293299 |
---|---|
Former Name | ANNIE MARIE REISING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KS 04-33161) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A94130) |
Enumeration Date | 2007-09-11 |
Last Update Date | 2024-07-17 |