| NPI | 1376969154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER ROSE CLAYTON Owner 321-242-0035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME92133) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-03-17 |