| 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 | 2024-11-22 |