NPI | 1700312568 |
---|---|
Former Name | ERIN KATHLEEN MACK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD480676) |
Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME168913) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2024-12-13 |