| NPI | 1710272158 |
|---|---|
| Former Name | MICHELLE LEIGH WENTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 89519) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD455262) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2024-01-10 |