| NPI | 1457644106 |
|---|---|
| Former Name | MACY ROSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX P2918) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 88948) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2022-12-22 |