NPI | 1720518996 |
---|---|
Former Name | EMILY R MUNDING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: IL 125071329) |
Additional Taxonomies | 208600000X Surgery (Licence: TX 743051) |
Enumeration Date | 2017-06-19 |
Last Update Date | 2022-12-29 |