NPI | 1912908906 |
---|---|
Former Name | SHERRY L KLAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036-093140) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35.079215) |
Enumeration Date | 2005-08-02 |
Last Update Date | 2024-06-24 |