NPI | 1235365990 |
---|---|
Former Name | KERI ELIZABETH QUINN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NC 2021-02094) |
Additional Taxonomies | 208600000X Surgery (Licence: WA MD60918827) |
204F00000X Transplant Surgery (Licence: CA A130738) | |
Enumeration Date | 2009-06-08 |
Last Update Date | 2023-09-27 |