Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | A168209 | CA |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | A168209 | CA |
NPI | 1376989392 |
---|---|
Provider Name | Dr. Kara Lauren De Winter |
First Address | Long Beach, CA 90807-3353 |
Second Address | Long Beach, CA 90807-3353 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2013 |
Last Update Date | 31/12/2020 |