NPI | 1326206210 |
---|---|
Former Name | THERESA HESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO MSDR.0000004) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL 2025) |
207L00000X Anesthesiology (Licence: FL OS 14050) | |
Enumeration Date | 2008-05-28 |
Last Update Date | 2022-07-26 |