NPI | 1487810065 |
---|---|
Former Name | DIANE MARIE WHEELER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101253136) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125048976) |
Enumeration Date | 2008-08-01 |
Last Update Date | 2020-10-15 |