NPI | 1568674554 |
---|---|
Former Name | REBECCA MAE HASSEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: OH 35-092435) |
Additional Taxonomies | 208600000X Surgery (Licence: NY 269864) |
2086X0206X Surgery, Surgical Oncology (Licence: OH 35-092435) | |
Enumeration Date | 2007-05-04 |
Last Update Date | 2022-04-12 |