NPI | 1437262094 |
---|---|
Former Name | SANDE BARTELS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WA MD00040942) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: OR MD23613) |
Enumeration Date | 2006-08-17 |
Last Update Date | 2007-07-08 |