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 |