NPI | 1689817371 |
---|---|
Former Name | MARYELIZABETH TYLER RASHID |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: IL 036128794) |
Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: IL 036128794) |
174400000X Specialist (Licence: IL 036128794) | |
Enumeration Date | 2009-04-11 |
Last Update Date | 2025-01-24 |