NPI | 1174709745 |
---|---|
Former Name | KRISTY LYNN WILLIAMSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.087910) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01064307A) |
Enumeration Date | 2008-01-14 |
Last Update Date | 2014-06-06 |