NPI | 1922218163 |
---|---|
Former Name | AMY ELIZABETH ROUNDTREE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA MD200847) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: LA 200847) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2013-04-10 |