NPI | 1235392697 |
---|---|
Former Name | LIA ELLEN CLATTENBURG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D73931) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NH 34606) |
Enumeration Date | 2008-07-07 |
Last Update Date | 2025-06-05 |