| NPI | 1649699638 |
|---|---|
| Former Name | MARTHA ANGELA WILCOX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NV 20355) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2021-06-28 |