| NPI | 1720144637 |
|---|---|
| Former Name | CAUDREAN L. AVERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 200800028) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD430442) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-10-25 |