NPI | 1073703443 |
---|---|
Former Name | KELLY ANN SARACCO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 005046) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ R837) |
Enumeration Date | 2007-07-31 |
Last Update Date | 2024-04-18 |