NPI | 1427050095 |
---|---|
Former Name | CAROL E SCOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: IA 30858) |
Additional Taxonomies | 208600000X Surgery (Licence: IA 30858) |
Enumeration Date | 2005-08-12 |
Last Update Date | 2007-12-18 |