| 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 |