NPI | 1184880171 |
---|---|
Former Name | CARRIE B JAHRAUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: CT 62141) |
Additional Taxonomies | 208600000X Surgery (Licence: CT 62141) |
2086X0206X Surgery Surgical Oncology (Licence: WI 55265) | |
Enumeration Date | 2008-07-30 |
Last Update Date | 2018-12-27 |