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 |