| NPI | 1942664925 |
|---|---|
| Former Name | LATISHA ELIZABETH RICKETTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 1942664925) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: NY 1942664925) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2022-08-22 |