NPI | 1144421975 |
---|---|
Former Name | ANDRA DAWN MARIOTTI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0070662) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A103969) |
207R00000X Internal Medicine (Licence: PA MT188256) | |
Enumeration Date | 2007-05-30 |
Last Update Date | 2021-06-07 |