| NPI | 1568562742 |
|---|---|
| Former Name | LOUISE ANN GOMBAKO WITHERSPOON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MS 19007) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD61494933) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2025-09-24 |