NPI | 1043467434 |
---|---|
Former Name | MARY LOUISE KINT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: MI 4704224847) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4704224847) |
Enumeration Date | 2008-08-27 |
Last Update Date | 2015-11-19 |