NPI | 1548676620 |
---|---|
Former Name | HEATHER ANNE FROHMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: FL ME152903) |
Additional Taxonomies | 208600000X Surgery (Licence: KY R3487) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-07-09 |
Last Update Date | 2022-08-23 |