NPI | 1265631550 |
---|---|
Former Name | DIANA L SANDNES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: AK 7070) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MT 12483) |
207L00000X Anesthesiology (Licence: WA MD60178246) | |
207L00000X Anesthesiology (Licence: NY 258939-1) | |
Enumeration Date | 2007-07-16 |
Last Update Date | 2024-09-30 |