NPI | 1598781122 |
---|---|
Former Name | GERALD ROBERT STEPHENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: TX L9503) |
Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: TX L9503) |
Enumeration Date | 2006-07-15 |
Last Update Date | 2024-12-04 |