NPI | 1558998229 |
---|---|
Former Name | KATARINA ALEXANDRIA LONGORIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101281880) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0116034258) |
Enumeration Date | 2020-03-24 |
Last Update Date | 2024-06-28 |