NPI | 1417181280 |
---|---|
Former Name | LORI CAROLINE STUART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX p3823) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP1- 0035408) |
Enumeration Date | 2009-05-08 |
Last Update Date | 2024-03-18 |