Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 201302150 | NC |
NPI | 1164682373 |
---|---|
Provider Name | Dr. Karenne Nstang Fru |
First Address | West Columbia, SC 29169-4716 |
Second Address | West Columbia, SC 29169-4716 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2008 |
Last Update Date | 11/08/2020 |