NPI | 1487863700 |
---|---|
Former Name | CRYSTAL JOY HESSMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CO DR.00588189) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2007-05-22 |
Last Update Date | 2022-07-21 |