| NPI | 1235335472 |
|---|---|
| Former Name | CORINNE NICOLE JEPPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: TX Q1836) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101017162) |
| 207V00000X Obstetrics & Gynecology (Licence: FL OS11306) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2024-05-17 |