NPI | 1649389503 |
---|---|
Former Name | DANTE MARIA FOSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: AK 7729) |
Additional Taxonomies | 208600000X Surgery (Licence: WA MD60024758) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2016-09-22 |