| NPI | 1396928222 |
|---|---|
| Former Name | CHARLENE HOOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MS 22675) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 049793) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD479763) | |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2023-05-16 |