NPI | 1063674562 |
---|---|
Former Name | LILLIAS C HOLMES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: PA MD475304) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MD475304) |
208C00000X Colon & Rectal Surgery (Licence: MI 4301111770) | |
Enumeration Date | 2008-06-26 |
Last Update Date | 2021-11-02 |