NPI | 1154385052 |
---|---|
Former Name | ANN BAILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MO 108492) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: KS 04-27343) |
Enumeration Date | 2006-04-17 |
Last Update Date | 2009-05-28 |