| NPI | 1720137268 |
|---|---|
| Former Name | LILLIAN DORIS LOCKETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD 60435457) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX J1463) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2014-06-04 |