NPI | 1710909981 |
---|---|
Former Name | JACQUELINE ANN PERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 44743) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: RI MD7783) |
Enumeration Date | 2006-07-24 |
Last Update Date | 2011-12-22 |