NPI | 1477832020 |
---|---|
Former Name | SUSAN MCCLELLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: CA 186963) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 279077-1) |
Enumeration Date | 2011-08-14 |
Last Update Date | 2023-06-15 |