NPI | 1134565013 |
---|---|
Former Name | REBECCA ANNE DEES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: WY 16908A) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 125062799) |
Enumeration Date | 2013-05-17 |
Last Update Date | 2024-04-29 |