NPI | 1245521640 |
---|---|
Former Name | KRISTEN ANN SELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AZ 60479) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 50471) |
Enumeration Date | 2011-04-20 |
Last Update Date | 2020-09-10 |