NPI | 1417150012 |
---|---|
Former Name | ANNA MARIE PARKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: MD D0078344) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: VA 0101256731) |
Enumeration Date | 2007-06-09 |
Last Update Date | 2014-10-01 |