NPI | 1437461480 |
---|---|
Former Name | JOANNA CRANSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: TX R4533) |
Additional Taxonomies | 171000000X Military Health Care Provider |
Enumeration Date | 2010-07-07 |
Last Update Date | 2019-08-06 |