NPI | 1972999449 |
---|---|
Former Name | MARY ELIZABETH DUARTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: TX T9386) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX T9386) |
207V00000X Obstetrics & Gynecology (Licence: TX PHYTEMP) | |
207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: TX PHYTEMP) | |
Enumeration Date | 2015-04-12 |
Last Update Date | 2023-05-18 |