NPI | 1275792962 |
---|---|
Former Name | KRISTY RIALON GUEVARA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: TX R8200) |
Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: NC 2016-02436) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-06-06 |
Last Update Date | 2023-02-22 |