| NPI | 1922272392 |
|---|---|
| Former Name | ABIGAIL AMY OLLENNU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301108581) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA 390200000X) |
| 207Q00000X Family Medicine (Licence: IN 01071550A) | |
| 207V00000X Obstetrics & Gynecology (Licence: IN 01071550A) | |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2018-03-17 |