NPI | 1790097111 |
---|---|
Former Name | AMBER HURT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: KY 43669) |
Additional Taxonomies | 208600000X Surgery (Licence: KY TP228) |
Enumeration Date | 2010-07-14 |
Last Update Date | 2019-05-10 |