NPI | 1275644239 |
---|---|
Former Name | COURTENAY ELIZABETH GORDON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: VA 0101236901) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101236901) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2024-12-22 |