NPI | 1154649804 |
---|---|
Former Name | TARA CATHRYN STAHLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 257362) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2010-05-05 |
Last Update Date | 2014-08-04 |