NPI | 1437476876 |
---|---|
Former Name | SARA ELIZABETH SCHULLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MN 55185) |
Additional Taxonomies | 2086S0127X Surgery Trauma Surgery (Licence: MN 55185) |
Enumeration Date | 2010-04-26 |
Last Update Date | 2024-12-03 |