NPI | 1841502754 |
---|---|
Former Name | EVA KATHERINE RICHARDSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: GA 074205) |
Additional Taxonomies | 208600000X Surgery (Licence: MS T2355) |
Enumeration Date | 2010-07-08 |
Last Update Date | 2023-01-18 |