| NPI | 1881346658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YULIA PENISTON Physician 913-680-9830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2022-05-17 |