NPI | 1477643807 |
---|---|
Former Name | KELLI KREUL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: WI 48072-020) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: WI 48072-020) |
2086X0206X Surgery, Surgical Oncology (Licence: WI 48072-020) | |
Enumeration Date | 2006-10-14 |
Last Update Date | 2019-04-24 |