NPI | 1427029800 |
---|---|
Former Name | TANYA DAWN RIP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: ND 13678) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI TR015101) |
207L00000X Anesthesiology (Licence: IN 02003159A) | |
207L00000X Anesthesiology (Licence: WY 5758) | |
Enumeration Date | 2006-02-01 |
Last Update Date | 2023-12-27 |