NPI | 1386222453 |
---|---|
Former Name | COLLEEN PATRICIA JUDGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: IL 036.173308) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036173308) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-03-31 |
Last Update Date | 2025-08-12 |