| NPI | 1295053569 |
|---|---|
| Former Name | TRICIA IRENE BASS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: KY 47118) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 47118) |
| 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: NE 31800) | |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2022-08-17 |