NPI | 1124417100 |
---|---|
Former Name | LINDSAY BROOKE OUTLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 007371) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant |
Enumeration Date | 2015-01-14 |
Last Update Date | 2021-11-17 |