NPI | 1336587054 |
---|---|
Former Name | JULIE PETRO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MA 273959) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC LL35783) |
207LP2900X Anesthesiology, Pain Medicine (Licence: MA 270738) | |
Enumeration Date | 2013-06-05 |
Last Update Date | 2022-07-21 |