NPI | 1295027530 |
---|---|
Former Name | TASHA LYNN PIKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 55827) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2011-05-04 |
Last Update Date | 2020-08-04 |