NPI | 1649762097 |
---|---|
Former Name | TAYLOR ANN SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: KY 56887) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT219456) |
Enumeration Date | 2018-06-01 |
Last Update Date | 2024-01-29 |