NPI | 1972560845 |
---|---|
Former Name | LIZA B BAZZETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: AR E-19391) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA MD.13700R) |
207V00000X Obstetrics & Gynecology (Licence: AR E-19391) | |
Enumeration Date | 2006-04-26 |
Last Update Date | 2025-06-19 |