| NPI | 1568807303 |
|---|---|
| Former Name | CAROLINE ANN KIESEMAN-SHMOKLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: WI 62867) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD470156) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2023-09-25 |