NPI | 1558595835 |
---|---|
Former Name | KASEY JO COLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0066524) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 26308) |
Enumeration Date | 2009-05-14 |
Last Update Date | 2025-10-02 |