NPI | 1407199797 |
---|---|
Former Name | DENISE BORDON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 17955) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2013-04-04 |
Last Update Date | 2018-08-09 |