NPI | 1679513352 |
---|---|
Former Name | JANA LORI KADIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WA MD60318106) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD60318106) |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: HI 7909) | |
Enumeration Date | 2006-06-08 |
Last Update Date | 2019-02-08 |