NPI | 1326067349 |
---|---|
Former Name | KIMBERLY YU MUDGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AK MED06835) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 4436) |
207V00000X Obstetrics & Gynecology (Licence: AK 6835) | |
Enumeration Date | 2006-07-19 |
Last Update Date | 2023-03-07 |