NPI | 1639349178 |
---|---|
Former Name | KATIE ROSE GEELAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NE 30829) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IA 39590) |
Enumeration Date | 2008-03-11 |
Last Update Date | 2018-11-02 |