NPI | 1093057614 |
---|---|
Former Name | ASHLEY LAUREN DECKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 40590) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2013-03-21 |
Last Update Date | 2022-07-21 |