NPI | 1366723165 |
---|---|
Former Name | ALISSA P. MINEAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 006213) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant |
Enumeration Date | 2011-09-07 |
Last Update Date | 2014-05-19 |