NPI | 1447549829 |
---|---|
Former Name | KIMBERLY MARIE DUBOIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036.137482) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036-137482) |
207V00000X Obstetrics & Gynecology (Licence: WI 81658-20) | |
Enumeration Date | 2011-04-06 |
Last Update Date | 2023-05-18 |