NPI | 1609364496 |
---|---|
Former Name | ERIN MARISSA WOLF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: KY 59445) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-04-26 |
Last Update Date | 2024-07-23 |