| 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 |