NPI | 1184897670 |
---|---|
Former Name | KATHLEEN JOANNE WILD CLICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101251512) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL MD.29730) |
Enumeration Date | 2008-04-07 |
Last Update Date | 2013-02-07 |