NPI | 1194995837 |
---|---|
Former Name | ALICE MARIE TROMBLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: OH 35.149166) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A110727) |
2086S0102X Surgery Surgical Critical Care (Licence: OH 35.149166) | |
Enumeration Date | 2008-03-10 |
Last Update Date | 2023-09-26 |