NPI | 1497118939 |
---|---|
Former Name | KELSEY JO SIMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 65033) |
Additional Taxonomies | 171000000X Military Health Care Provider |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-04-01 |
Last Update Date | 2020-03-13 |