NPI | 1568825354 |
---|---|
Former Name | KALA BURGENER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AR E-13138) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2016-03-30 |
Last Update Date | 2020-10-05 |