NPI | 1356496079 |
---|---|
Former Name | NEVRA S KING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AZ 44030) |
Additional Taxonomies | 171000000X Military Health Care Provider (Licence: TX N1368) |
171000000X Military Health Care Provider (Licence: NC 2009-00154) | |
207T00000X Neurological Surgery (Licence: PA MD429270) | |
Enumeration Date | 2007-01-24 |
Last Update Date | 2017-04-10 |