NPI | 1124355086 |
---|---|
Former Name | LAURA ASHLEY GRIFFIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: GA 82910) |
Additional Taxonomies | 208600000X Surgery (Licence: TX R7305) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-11-12 |
Last Update Date | 2024-07-19 |