NPI | 1285315929 |
---|---|
Former Name | TIANDRA VERSHAWN SINGLETON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: LA 229720) |
Enumeration Date | 2023-07-26 |
Last Update Date | 2024-11-12 |