| NPI | 1205148673 |
|---|---|
| Former Name | LACEY J SAUVAGEAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ND 13281) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301096906) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2022-03-25 |