NPI | 1407275977 |
---|---|
Former Name | ERICA ELIZABETH RUVOLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 63501) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA OS019166) |
Enumeration Date | 2014-04-14 |
Last Update Date | 2021-03-19 |