NPI | 1154853232 |
---|---|
Former Name | ALEXUS BRIANA PERRY |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AL 46804) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 227231) |
207V00000X Obstetrics & Gynecology (Licence: GA 92246) | |
Enumeration Date | 2017-03-29 |
Last Update Date | 2023-09-26 |