NPI | 1386751030 |
---|---|
Former Name | AMY CHRISTINE KLOSTERMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2009006843) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 41228) |
Enumeration Date | 2006-08-25 |
Last Update Date | 2020-11-10 |