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 |