NPI | 1275703209 |
---|---|
Former Name | KELLY ANN ARBLASTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: FL OS10314) |
Additional Taxonomies | 208600000X Surgery (Licence: PA OS017098) |
Enumeration Date | 2008-03-05 |
Last Update Date | 2023-10-30 |