NPI | 1235665126 |
---|---|
Other Name | KHAKI MARQUETTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 71795) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101283149) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2024-12-16 |