NPI | 1922184613 |
---|---|
Former Name | MARLA G IKOSSI OCONNOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: ME MD12822) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: ME MD12822) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA C52151) | |
Enumeration Date | 2006-10-27 |
Last Update Date | 2020-02-14 |