| NPI | 1356784474 |
|---|---|
| Former Name | TESSA BLACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NV 20225) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM MD2017-0743) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2021-10-22 |