NPI | 1649685868 |
---|---|
Former Name | ASHLEY LOSURE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 02006452A) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101021151) |
Enumeration Date | 2014-06-26 |
Last Update Date | 2023-09-07 |