NPI | 1578855201 |
---|---|
Former Name | BRANDY S.N. ERVIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ME MD26099) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 55625) |
Enumeration Date | 2011-05-13 |
Last Update Date | 2023-06-30 |