NPI | 1578790010 |
---|---|
Former Name | JADA MICHELLE AIKMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: FL ME132061) |
Additional Taxonomies | 208600000X Surgery (Licence: VA 0101248406) |
Enumeration Date | 2009-06-11 |
Last Update Date | 2018-03-17 |