| NPI | 1720058712 |
|---|---|
| Former Name | KATHLEEN SHERIDAN BELLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD428219) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ME MD19898) |
| 207V00000X Obstetrics & Gynecology (Licence: MA 270045) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2024-03-21 |