NPI | 1922116250 |
---|---|
Former Name | CAROLYN LORAINE HARRAWAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2013-00964) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D0056011) |
207V00000X Obstetrics & Gynecology (Licence: TN 41905) | |
Enumeration Date | 2006-08-28 |
Last Update Date | 2021-08-18 |