| NPI | 1275559163 |
|---|---|
| Former Name | LORI D WYLIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2022-00284) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301077897) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2024-03-24 |