NPI | 1346481884 |
---|---|
Former Name | CANDICE J BEREAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A110292) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A110292) |
Enumeration Date | 2009-03-12 |
Last Update Date | 2018-06-18 |