NPI | 1194963462 |
---|---|
Former Name | MARISSA DELGADO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: CT 047916) |
Additional Taxonomies | 208600000X Surgery (Licence: CT 047916) |
Enumeration Date | 2009-01-26 |
Last Update Date | 2017-02-07 |