NPI | 1164942942 |
---|---|
Former Name | DEVON L PEIGHTAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: IA DO-06297) |
Additional Taxonomies | 208600000X Surgery (Licence: IA R-11017) |
2086X0206X Surgery Surgical Oncology (Licence: GA 91846) | |
Enumeration Date | 2017-06-22 |
Last Update Date | 2023-09-07 |