| NPI | 1356813612 |
|---|---|
| Former Name | CHARLOTTE REBECCA WURTZEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: CO ANT.0000099) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2019-01-07 |