| NPI | 1811367642 |
|---|---|
| Former Name | JOAN LAUREEN MILLIGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: CO 84596) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |