NPI | 1861666869 |
---|---|
Former Name | THERESE LYN KIRSCH-KRUEGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 86683) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036131504) |
Enumeration Date | 2008-04-22 |
Last Update Date | 2020-09-01 |