| NPI | 1518453596 |
|---|---|
| Former Name | VERONICA FAYE BIALAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MD H97532) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA OT018246) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2024-02-14 |