NPI | 1235305566 |
---|---|
Former Name | AMY SUZANNE WALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: AL 30993) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 226228) |
207L00000X Anesthesiology (Licence: CA A123437) | |
Enumeration Date | 2008-05-06 |
Last Update Date | 2013-12-12 |