| NPI | 1427144369 |
|---|---|
| Former Name | THEMARGE ANNE MCLELLAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VT 042-0011640) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NH RT-1393) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2009-05-06 |