| NPI | 1417007808 |
|---|---|
| Former Name | GENA COLLEEN MCILWAIN-DUNIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AL 43934) |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NM MD2010-0175) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NC 2007-00553) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NM MD2010-0175) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2023-06-29 |