| NPI | 1326432220 |
|---|---|
| Former Name | KOURTNEY LYNN TRUDGEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DC MTL002932) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 53198) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2021-07-26 |