NPI | 1992124895 |
---|---|
Former Name | COURTNEY ANN SPOKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 69182-20) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY R3541) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-08 |
Last Update Date | 2018-06-06 |