NPI | 1346708682 |
---|---|
Former Name | LILIA SCHULENBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: IL 125.074457) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-03-06 |
Last Update Date | 2020-02-20 |