NPI | 1174787816 |
---|---|
Former Name | ELIZABETH JAYNE KNEFELKAMP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: KS 04-48188) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 4301081857) |
Enumeration Date | 2008-07-11 |
Last Update Date | 2023-08-15 |