NPI | 1558322032 |
---|---|
Former Name | ERYN BETHANY MUNKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD61369666) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO 43546) |
207V00000X Obstetrics & Gynecology (Licence: OR MD165795) | |
Enumeration Date | 2006-04-01 |
Last Update Date | 2023-04-17 |