| NPI | 1609162163 |
|---|---|
| Former Name | JAMIE PEREGRINE DUBAUT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: KS 04-37983) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 04-37983) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2023-12-14 |