NPI | 1154881274 |
---|---|
Former Name | SAMANTHA CROUCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0072570) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A181786) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-24 |
Last Update Date | 2024-08-29 |