| NPI | 1407062417 |
|---|---|
| Former Name | DYANNE PHILLIPPE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 075924) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 243899) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2024-01-17 |