NPI | 1083839120 |
---|---|
Former Name | LOLONYA R PAIGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 430184006) |
Additional Taxonomies | 174400000X Specialist (Licence: MI 4301084006) |
207V00000X Obstetrics & Gynecology (Licence: MI 4301084006) | |
Enumeration Date | 2007-04-16 |
Last Update Date | 2024-06-10 |