NPI | 1598194342 |
---|---|
Former Name | ALLISON SWENY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: WA MD60568384) |
Additional Taxonomies | 208600000X Surgery (Licence: MT MED-PHYS-LIC-100616) |
Enumeration Date | 2013-11-02 |
Last Update Date | 2021-09-08 |