NPI | 1942437934 |
---|---|
Former Name | KATHERINE MARIE IVEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: TX T2184) |
Additional Taxonomies | 208600000X Surgery (Licence: NE 26179) |
2086S0102X Surgery, Surgical Critical Care (Licence: TX T2184) | |
Enumeration Date | 2009-06-17 |
Last Update Date | 2024-05-03 |