NPI | 1174877187 |
---|---|
Former Name | KAREN LYNN EWERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ME MD14521) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: ME MD14521) |
207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: ME MD14521) | |
Enumeration Date | 2012-10-30 |
Last Update Date | 2012-10-30 |