| NPI | 1821351396 |
|---|---|
| Former Name | REGINA AGBOOLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: OH 35.132920) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MI 4301101442) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2022-06-15 |