NPI | 1134482268 |
---|---|
Former Name | KAREN LYNN CONDON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MI 4301109342) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD453106) |
Enumeration Date | 2012-06-22 |
Last Update Date | 2019-03-06 |