NPI | 1790775625 |
---|---|
Former Name | MAGGIE L. CORBETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 010238273) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD00048040) |
207V00000X Obstetrics & Gynecology (Licence: SC 34095) | |
207V00000X Obstetrics & Gynecology (Licence: NC 200300186) | |
Enumeration Date | 2005-10-22 |
Last Update Date | 2015-07-23 |