NPI | 1467973560 |
---|---|
Former Name | ELIZA MARIE SLAMA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: VA 0101275017) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2017-06-29 |
Last Update Date | 2024-12-11 |