NPI | 1467898544 |
---|---|
Former Name | MELISSA K WYLIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MI 4301102795) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301102795) |
207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: UT 11774168-1205) | |
Enumeration Date | 2013-05-16 |
Last Update Date | 2023-03-08 |