NPI | 1104447168 |
---|---|
Former Name | AMY ELIZABETH WOZNIAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301511604) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4351046287) |
Enumeration Date | 2020-04-30 |
Last Update Date | 2024-11-08 |