NPI | 1861668865 |
---|---|
Other Name | DENISE CORNEJO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: ID 3271447) |
Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care (Licence: AZ 45020) |
2086S0127X Surgery Trauma Surgery (Licence: WY 14647C) | |
Enumeration Date | 2008-04-30 |
Last Update Date | 2025-04-21 |