| NPI | 1619753464 |
|---|---|
| Former Name | TAMMY LYNN SZOSTAKOWSKI |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MI 4704217144) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2024-02-29 |