NPI | 1114129053 |
---|---|
Former Name | KATHERINE DIANE SCHAFBUCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 245099) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MA 245099) |
Enumeration Date | 2007-06-04 |
Last Update Date | 2025-04-26 |