NPI | 1932307758 |
---|---|
Former Name | KANDICE E KILBRIDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: IN 01068492A) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 4301060249) |
Enumeration Date | 2007-07-03 |
Last Update Date | 2021-01-28 |