NPI | 1588628838 |
---|---|
Former Name | KIMBERLY D NEW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 46175) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 23970) |
Enumeration Date | 2006-04-13 |
Last Update Date | 2015-04-07 |