| NPI | 1649775610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY E WILKINS Admin 034-128-3185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OR MD24699) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2023-03-07 |