| NPI | 1043703325 |
|---|---|
| Former Name | KACI ROUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4351042031) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301115624) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2022-08-03 |