| NPI | 1619469160 |
|---|---|
| Former Name | DANA KAY FUELBERTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE 34085) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 8198) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2022-07-15 |