NPI | 1184925075 |
---|---|
Former Name | STEFANIE LYNN KAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CA A118598) |
Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NY 390200000x) |
Enumeration Date | 2010-11-08 |
Last Update Date | 2023-04-18 |