NPI | 1992333504 |
---|---|
Former Name | KATHERINE MARIE BUDDEMEYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2024-01140) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 92080) |
Enumeration Date | 2020-03-30 |
Last Update Date | 2024-07-26 |