NPI | 1023351889 |
---|---|
Former Name | CHRISTINA SOUTHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: CA A156794) |
Additional Taxonomies | 208600000X Surgery (Licence: HI 19658) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-03-30 |
Last Update Date | 2025-03-14 |