NPI | 1578095998 |
---|---|
Former Name | MARANDA VANFLEET |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 329092) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OT017810) |
Enumeration Date | 2017-04-03 |
Last Update Date | 2024-09-04 |