| NPI | 1366738155 |
|---|---|
| Former Name | COURTNEY GRAY FOOTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2019004912) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10040931) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2019-02-14 |