NPI | 1033659354 |
---|---|
Former Name | LEAH MARIE GRANZO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 5101026228) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2017-03-06 |
Last Update Date | 2021-07-08 |