NPI | 1790712693 |
---|---|
Former Name | GRETCHEN PATRICIA PURCELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: TN MD41269) |
Additional Taxonomies | 208600000X Surgery (Licence: TN MD41269) |
Enumeration Date | 2006-06-27 |
Last Update Date | 2022-03-18 |