| NPI | 1902837768 |
|---|---|
| Former Name | SASHA D KENNISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX M0457) |
| Additional Taxonomies | 2086S0127X Surgery Trauma Surgery (Licence: TX M0457) |
| 2086S0102X Surgery Surgical Critical Care (Licence: TX 003088) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2024-01-26 |