| NPI | 1669474805 |
|---|---|
| Former Name | KAY MARIE ABDULLAH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME119762) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 40854) |
| 208600000X Surgery (Licence: ND 6639) | |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2022-02-11 |