NPI | 1346683083 |
---|---|
Former Name | AUDREY L STOKES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: PA MD474318) |
Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: MN 67578) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-04-11 |
Last Update Date | 2021-09-08 |