NPI | 1639480817 |
---|---|
Former Name | KATHARINE KELSEY RAISLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D0077597) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301097090) |
Enumeration Date | 2010-06-23 |
Last Update Date | 2021-06-16 |