| NPI | 1396889978 |
|---|---|
| Former Name | FELICIA GAIL BOGAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: KY SA146) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-12-09 |