NPI | 1932199684 |
---|---|
Former Name | KENDREIA WYNETTE DICKENS-WILLIAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 88936) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NV 11104) |
Enumeration Date | 2005-10-25 |
Last Update Date | 2022-11-16 |