| NPI | 1942660410 |
|---|---|
| Former Name | GLORIA JORDAN PETRIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: FL 16861) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL OS16861) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2026-04-14 |