NPI | 1194973446 |
---|---|
Former Name | DANE MARIE YURATICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA MD.206666) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 57.014836) |
207LP2900X Anesthesiology, Pain Medicine (Licence: LA MD.206666) | |
Enumeration Date | 2008-08-28 |
Last Update Date | 2018-05-11 |