NPI | 1578958153 |
---|---|
Former Name | REBECCA LAUREN COLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NC 2022-01394) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A162377) |
207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA A162377) | |
Enumeration Date | 2015-04-01 |
Last Update Date | 2023-01-11 |