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 |