NPI | 1164636676 |
---|---|
Former Name | JENNIFER L MITCHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA OS013863) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA OS013863) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2013-11-06 |