| NPI | 1396189874 |
|---|---|
| Former Name | CHAILEE MANN-STADT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D83250) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 57.023344) |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2019-07-29 |