NPI | 1295186401 |
---|---|
Former Name | HOPE MARGARET VILLIARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: WI 76989) |
Additional Taxonomies | 208600000X Surgery (Licence: IA R-10742) |
208600000X Surgery (Licence: OH 35.141405) | |
Enumeration Date | 2016-06-29 |
Last Update Date | 2022-09-13 |