| NPI | 1538699814 |
|---|---|
| Former Name | LEAH ROSE TOWARNICKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101271114) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0116030825) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2021-08-06 |