NPI | 1215920418 |
---|---|
Former Name | JANET G DRAKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: WI 53214) |
Additional Taxonomies | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: TN MD31426) |
Enumeration Date | 2005-08-24 |
Last Update Date | 2014-11-19 |