Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | ME43867 | FL |
NPI | 1053354183 |
---|---|
Provider Name | Dr. Niloufer Kero |
First Address | Brooksville, FL 34613-5411 |
Second Address | Brooksville, FL 34613-5411 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 15/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D53443 | (02) | FL |