NPI | 1881030245 |
---|---|
Former Name | JILLIAN ROSE SCAMBIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208800000X Urology (Licence: NY 300483) |
Additional Taxonomies | 208800000X Urology (Licence: CO DR.0061017) |
Enumeration Date | 2013-05-13 |
Last Update Date | 2019-08-20 |