| NPI | 1396988879 |
|---|---|
| Former Name | ELIZABETH NICOLE GERMINDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: KS 04-45161) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2017039602) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2022-10-13 |