NPI | 1437531621 |
---|---|
Former Name | MICHELLE ZOOK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 95621) |
Additional Taxonomies | 171000000X Military Health Care Provider |
207V00000X Obstetrics & Gynecology (Licence: NE 1599) | |
Enumeration Date | 2015-06-24 |
Last Update Date | 2023-06-05 |