| NPI | 1154734044 |
|---|---|
| Former Name | ELLA JANET DOERGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OR MD197922) |
| Additional Taxonomies | 208800000X Urology (Licence: WA MD61042096) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2024-05-24 |