NPI | 1184038838 |
---|---|
Former Name | KRISTINA JOY DEMASTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: PA MD461701) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: PA MD461701) |
Enumeration Date | 2014-06-19 |
Last Update Date | 2024-08-26 |