NPI | 1548478720 |
---|---|
Former Name | LAURA ISABEL EICHHORN-WHARRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: OH 35.121359) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 4301087646) |
208600000X Surgery (Licence: PA md444725) | |
Enumeration Date | 2007-05-19 |
Last Update Date | 2023-11-03 |