Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080N0001X | Neonatal-Perinatal Doctor | 35126025 | OH |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 89332 | GA |
NPI | 1033324819 |
---|---|
Provider Name | Nathalie Maitre |
First Address | Columbus, OH 43205-2664 |
Second Address | Columbus, OH 43205-2664 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2007 |
Last Update Date | 02/08/2021 |