NPI | 1164084901 |
---|---|
Other Name | DAWN MARIE KILLMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 58.033186) |
Additional Taxonomies | 208600000X Surgery (Licence: PA OT019605) |
Enumeration Date | 2019-07-02 |
Last Update Date | 2024-03-26 |