| NPI | 1841633484 |
|---|---|
| Former Name | TABITHA LEE SCHRUFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: FL ME163120) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0064785) |
| 207V00000X Obstetrics & Gynecology (Licence: MO 2016014747) | |
| Enumeration Date | 2013-04-13 |
| Last Update Date | 2023-08-18 |