NPI | 1407243165 |
---|---|
Former Name | ELISA DOLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 55130) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-04-21 |
Last Update Date | 2019-08-12 |