NPI | 1063674513 |
---|---|
Former Name | JULIE PHILLIPS LORBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MO 2011012294) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 036125132) |
Enumeration Date | 2008-06-26 |
Last Update Date | 2023-09-05 |