NPI | 1366944407 |
---|---|
Former Name | MADISON RECTOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: TX 24570556) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant |
Enumeration Date | 2018-03-05 |
Last Update Date | 2020-08-10 |