| NPI | 1194782649 |
|---|---|
| Former Name | MARY E GARDNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 20A8446) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR DO25657) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2020-05-27 |