NPI | 1013176437 |
---|---|
Former Name | KRISTI D HACKWORTH ROSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: VA 0101256899) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101256899) |
207LC0200X Anesthesiology, Critical Care Medicine (Licence: VA 0101256899) | |
Enumeration Date | 2008-06-02 |
Last Update Date | 2022-04-19 |