| 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 |