| NPI | 1417041138 |
|---|---|
| Former Name | JACQUELINE ELLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN MD26263) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN 026263) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2022-03-28 |