NPI | 1437258100 |
---|---|
Former Name | JOELLE ANN CLEVELAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 56429-20) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WI 56429) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2019-09-09 |