| NPI | 1528486032 |
|---|---|
| Former Name | JACQUELINE ANN BROSIUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036148779) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: IL 036148779) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2023-10-10 |