NPI | 1992115752 |
---|---|
Former Name | ANA MARIA BOTERO QUINTERO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX S6173) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 2920121) |
Enumeration Date | 2014-05-02 |
Last Update Date | 2020-08-14 |