| NPI | 1336369701 |
|---|---|
| Former Name | TABATHA JEAN PEFLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MI 5101016413) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2023-11-17 |