NPI | 1124552880 |
---|---|
Former Name | KJIRSTEN CARLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: CA A147052) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A147052) |
Enumeration Date | 2017-04-19 |
Last Update Date | 2024-06-18 |