| NPI | 1750548384 |
|---|---|
| Former Name | KATHERINE HEIDEN CARPIZO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036-126341) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35-094793) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2010-07-29 |