| NPI | 1194952457 |
|---|---|
| Former Name | MIRIAM JESSIE BENTLEY-TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: HI 18243) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2016-03-18 |