NPI | 1205093952 |
---|---|
Former Name | SARAH BETH RUSSELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: OK 31159) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK 31159) |
Enumeration Date | 2008-05-20 |
Last Update Date | 2019-12-02 |