NPI | 1063709772 |
---|---|
Former Name | BRIDGET LEANN MCGUIRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TN MD53848) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MO 2011017908) |
Enumeration Date | 2011-07-01 |
Last Update Date | 2017-02-07 |