NPI | 1629363635 |
---|---|
Former Name | KRISTIN MICHELE FOGLIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: PA OS018035) |
Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology (Licence: WV 3171) |
Enumeration Date | 2011-06-17 |
Last Update Date | 2022-09-09 |