NPI | 1356608624 |
---|---|
Former Name | SAMANTHA LYNN SUEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A128623) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2012-04-11 |
Last Update Date | 2016-06-20 |