NPI | 1841426376 |
---|---|
Former Name | MARY ELIZABETH KERN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301506289) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD61027919) |
Enumeration Date | 2009-06-10 |
Last Update Date | 2022-10-24 |