| NPI | 1750744017 |
|---|---|
| Former Name | CHERYL PRAVETZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME154745) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD470669) |
| Enumeration Date | 2016-04-03 |
| Last Update Date | 2024-11-01 |