| NPI | 1194010645 |
|---|---|
| Former Name | ANNA LYNN UEBELE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WI 65219-20) |
| Additional Taxonomies | 208600000X Surgery (Licence: MD D78488) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2022-04-13 |