| NPI | 1194284315 |
|---|---|
| Former Name | LYDIA LOUISE MCCORMICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 1194284315) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036165698) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2024-02-09 |