NPI | 1245819267 |
---|---|
Former Name | COURTNEY JANINE SMERIGLIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 5151015011) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL OS21682) |
Enumeration Date | 2021-04-06 |
Last Update Date | 2024-11-20 |