NPI | 1780146811 |
---|---|
Former Name | ALLISON RAE KIERNAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 67770) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 30268) |
Enumeration Date | 2019-04-06 |
Last Update Date | 2024-01-22 |