NPI | 1295807022 |
---|---|
Former Name | KRISTEN ANN MARXEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 85200) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A71395) |
Enumeration Date | 2006-11-15 |
Last Update Date | 2021-11-05 |