| NPI | 1174717433 |
|---|---|
| Former Name | CAROL AGNES JUGAN-RUSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301091286) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT183704) |
| 207R00000X Internal Medicine (Licence: DE C1-0006591) | |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2016-11-03 |