NPI | 1497118939 |
---|---|
Former Name | KELSEY JO SIMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: VA 0101263475) |
Additional Taxonomies | 171000000X Military Health Care Provider |
207V00000X Obstetrics & Gynecology (Licence: CT 65033) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-04-01 |
Last Update Date | 2024-11-21 |