NPI | 1740668474 |
---|---|
Former Name | MARY AGNES PALILONIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MI 4301509194) |
Additional Taxonomies | 208600000X Surgery (Licence: RI LP03312) |
208600000X Surgery (Licence: WA MD61249364) | |
Enumeration Date | 2015-05-14 |
Last Update Date | 2023-08-21 |