NPI | 1144261082 |
---|---|
Former Name | STEPHANIE BROOK LEEMHUIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME125320) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AK 6665) |
Enumeration Date | 2006-06-10 |
Last Update Date | 2023-01-13 |