NPI | 1558654715 |
---|---|
Former Name | TESSA ELIZABETH LONDON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 49171) |
Additional Taxonomies | 208600000X Surgery (Licence: KY R2583) |
Enumeration Date | 2011-05-20 |
Last Update Date | 2021-10-07 |