| NPI | 1467568428 |
|---|---|
| Other Name | DONNA L. JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 33322-020) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WI 33322-020) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: WI 33322-020) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2019-03-25 |