NPI | 1932292513 |
---|---|
Former Name | KEISHA YEMA BAILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101276098) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301088639) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2022-10-18 |