| NPI | 1538499629 |
|---|---|
| Former Name | JESSICA MARIA SUAREZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology (Licence: TX N5633) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10017484) |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2012-06-20 |