NPI | 1265415780 |
---|---|
Former Name | BECKY L MCGRAW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: TX G8915) |
Enumeration Date | 2005-11-29 |
Last Update Date | 2019-10-21 |