NPI | 1801082458 |
---|---|
Former Name | GENEVIEVE HELENA VON THESLING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208800000X Urology (Licence: CA A100973) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA A100973) |
Enumeration Date | 2007-09-18 |
Last Update Date | 2016-09-13 |