NPI | 1346418142 |
---|---|
Former Name | DARIA ANN JACOBELLIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MB08909500) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2008-02-14 |
Last Update Date | 2015-03-27 |