NPI | 1962420976 |
---|---|
Former Name | JENNIFER REGAN REGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 01086635A) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35.069483) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2021-09-22 |