| NPI | 1538252747 |
|---|---|
| Former Name | DEE E FENNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: MI 4301405915) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301405915) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2018-12-13 |