NPI | 1457647182 |
---|---|
Former Name | TERA L FREDERICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AL 33951) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01094333A) |
Enumeration Date | 2011-06-21 |
Last Update Date | 2024-07-18 |