NPI | 1245493782 |
---|---|
Former Name | HEATHER DAWN SCOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: GA 072624) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC LL30964) |
207L00000X Anesthesiology (Licence: PA MD446073) | |
Enumeration Date | 2008-07-03 |
Last Update Date | 2015-11-06 |