| NPI | 1407981814 |
|---|---|
| Former Name | ALISHA B KETNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO126006) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR DO126006) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2012-11-29 |