| NPI | 1376151027 |
|---|---|
| Former Name | DANA ROACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 76979) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 8836) |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2024-08-27 |