| NPI | 1184679193 |
|---|---|
| Former Name | HEIDI C MEMMEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036107710) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 36107710) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2023-08-11 |