NPI | 1679912133 |
---|---|
Former Name | REBECCA HOLLY STRIKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: ND 15099) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 5101020540) |
Enumeration Date | 2013-06-18 |
Last Update Date | 2022-01-19 |