| NPI | 1760916852 |
|---|---|
| Former Name | MARY VAN METER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 65061) |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: TN 65061) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2024-08-14 |