NPI | 1588152847 |
---|---|
Former Name | HANNAH MARIE DYSINGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MI 4301506506) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 11414324-1205) |
Enumeration Date | 2018-04-23 |
Last Update Date | 2022-07-15 |