NPI | 1609269422 |
---|---|
Former Name | TRACEY ELLEN HONOHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: VA 0101262164) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101262164) |
Enumeration Date | 2015-03-18 |
Last Update Date | 2025-10-09 |