| NPI | 1023351889 |
|---|---|
| Former Name | CHRISTINA SOUTHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A156794) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208600000X Surgery (Licence: HI 19658) | |
| Enumeration Date | 2013-03-30 |
| Last Update Date | 2020-01-14 |