NPI | 1043210636 |
---|---|
Former Name | LINSEY P BECK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: MI 5101014735) |
Additional Taxonomies | 208600000X Surgery (Licence: MD H62874) |
Enumeration Date | 2005-07-26 |
Last Update Date | 2012-06-04 |