NPI | 1083819502 |
---|---|
Former Name | KAREN L WALP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MA 253631) |
Additional Taxonomies | 208600000X Surgery (Licence: MA L-231744) |
Enumeration Date | 2007-06-15 |
Last Update Date | 2017-03-20 |