NPI | 1093196842 |
---|---|
Former Name | MARY CHRISTINE GRAVES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MO 2022010786) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2022010786) |
207V00000X Obstetrics & Gynecology (Licence: WI 70784) | |
Enumeration Date | 2015-06-17 |
Last Update Date | 2022-08-02 |