| NPI | 1043509730 |
|---|---|
| Former Name | KYLIE MARIE LAGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: MN 73469) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VT 0420013113) |
| 207V00000X Obstetrics & Gynecology (Licence: MN 73469) | |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: ID M-14071) | |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2024-04-23 |