NPI | 1083000749 |
---|---|
Former Name | WHITNEY CREED |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 73647) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: AK 136713) |
207L00000X Anesthesiology (Licence: UT 10100316-1205) | |
Enumeration Date | 2015-04-09 |
Last Update Date | 2021-02-08 |