NPI | 1538522768 |
---|---|
Former Name | CAMBIA SUSSETTE GREEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 208600000X Surgery (Licence: CA 156869) |
Enumeration Date | 2016-04-04 |
Last Update Date | 2023-06-26 |