| NPI | 1689860389 |
|---|---|
| Former Name | CHANDRA VARNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: TX S5161) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: TX S5161) |
| 208600000X Surgery (Licence: TX S5161) | |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2024-02-07 |