| 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 |