| NPI | 1548425549 |
|---|---|
| Former Name | CALLIE MARIE ROSENTHAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TN 54477) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA 60020781) |
| Enumeration Date | 2008-07-19 |
| Last Update Date | 2021-12-20 |