NPI | 1548503261 |
---|---|
Former Name | KAITLYN ABIGAIL WURZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: WA MD61072741) |
Enumeration Date | 2013-04-01 |
Last Update Date | 2022-05-02 |