| 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 | 2025-03-10 |