NPI | 1093291825 |
---|---|
Former Name | BEULAH DINAH CASTOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL ME148516) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME148516) |
Enumeration Date | 2018-07-16 |
Last Update Date | 2023-08-15 |