| NPI | 1801882428 |
|---|---|
| Former Name | TERESA ANN DUDEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME98349) |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 35-06-3092-D) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2010-01-22 |