NPI | 1053632182 |
---|---|
Former Name | PAMELA CHRISTINE SCHMIDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: TX R6620) |
Additional Taxonomies | 208600000X Surgery (Licence: VA 0102204380) |
Enumeration Date | 2010-06-11 |
Last Update Date | 2020-06-04 |