| NPI | 1205873361 |
|---|---|
| Former Name | MARJORIE CLARK TREADWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: MI 4301050119) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301050119) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2022-03-22 |