NPI | 1063611762 |
---|---|
Former Name | TAMARA G. HARTSHORN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A108105) |
Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CA A108105) |
Enumeration Date | 2007-07-12 |
Last Update Date | 2024-10-15 |