NPI | 1629799754 |
---|---|
Other Name | LUCY JEFFERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: MA 295241) |
Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: IL 036173850) |
Enumeration Date | 2022-09-07 |
Last Update Date | 2025-03-03 |