| NPI | 1932370335 |
|---|---|
| Former Name | CAMILLE AVINA RILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WA MD60012912) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A90872) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2020-11-23 |