| NPI | 1932499159 |
|---|---|
| Former Name | NATALIE CANNON VERCILLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: GA 98417) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: SC 39286) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2024-09-03 |