NPI | 1487943742 |
---|---|
Former Name | JENIFER NICOLE LESSICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: OH 34.014673) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 293579) |
Enumeration Date | 2011-04-06 |
Last Update Date | 2020-10-26 |