NPI | 1447546189 |
---|---|
Former Name | AMELIA CATE YOUNKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NC 2018-01300) |
Additional Taxonomies | 208600000X Surgery (Licence: AR E-10561) |
Enumeration Date | 2011-06-21 |
Last Update Date | 2021-08-19 |