| NPI | 1275910481 |
|---|---|
| Former Name | DOMINIQUE GHANNAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME134088) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: FL ME134088) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2024-06-13 |