NPI | 1912165713 |
---|---|
Former Name | KISTI DAWN POPE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: AZ 48767) |
Additional Taxonomies | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: NV 24641) |
Enumeration Date | 2008-05-28 |
Last Update Date | 2024-04-02 |