NPI | 1972849743 |
---|---|
Former Name | SARAH BETH VANDE ZANDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: TX S7350) |
Additional Taxonomies | 208600000X Surgery (Licence: TX S7350) |
Enumeration Date | 2012-12-21 |
Last Update Date | 2022-05-04 |