NPI | 1518940915 |
---|---|
Former Name | SHERRY ARLENE PITTMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 035151) |
Additional Taxonomies | 174400000X Specialist (Licence: GA 035151) |
Enumeration Date | 2005-11-21 |
Last Update Date | 2024-11-26 |