NPI | 1811374119 |
---|---|
Former Name | MONICA KAY ZIPPLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: MI 4301503536) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-05-06 |
Last Update Date | 2022-01-25 |