NPI | 1336178615 |
---|---|
Former Name | BETTINA MARIE GROOME OHL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: PA MD027671E) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2012-12-05 |