NPI | 1568699411 |
---|---|
Former Name | CARRIE CONATSER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN MD49654) |
Additional Taxonomies | 174400000X Specialist (Licence: TN MD49654) |
Enumeration Date | 2009-06-18 |
Last Update Date | 2024-11-20 |