NPI | 1609837319 |
---|---|
Former Name | KIMBERLY DARLENE HIGGINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2021050734) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 04-33125) |
Enumeration Date | 2006-03-31 |
Last Update Date | 2022-03-21 |