| NPI | 1568669190 |
|---|---|
| Former Name | KERRY KLUGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 49175) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101015620) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2021-06-18 |