NPI | 1174934624 |
---|---|
Former Name | ALYSSA GREIMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208800000X Urology (Licence: MD D0090852) |
Additional Taxonomies | 208800000X Urology (Licence: SC LL36823) |
Enumeration Date | 2014-05-17 |
Last Update Date | 2021-06-28 |