| NPI | 1366889792 |
|---|---|
| Former Name | MANDI KLEIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO DR.0070813) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA 163079) |
| 208600000X Surgery (Licence: NC 2018-00880) | |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2023-08-10 |