NPI | 1881875185 |
---|---|
Former Name | NICHOLE SUZANNE MEISSNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: CA A90718) |
Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: CA A90718) |
Enumeration Date | 2007-11-15 |
Last Update Date | 2018-07-19 |