NPI | 1407384878 |
---|---|
Former Name | LEAH SWANZY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2024-00979) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101266822) |
Enumeration Date | 2017-05-31 |
Last Update Date | 2025-08-04 |