NPI | 1154736494 |
---|---|
Former Name | LAUREN MARIE PULIDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CA 20a14449) |
Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: TX T2280) |
Enumeration Date | 2014-06-25 |
Last Update Date | 2022-11-01 |