NPI | 1427177336 |
---|---|
Former Name | SARAH JAYNE CARLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: KS 0433337) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: KS 0433337) |
207L00000X Anesthesiology (Licence: IA MD-48799) | |
207LP2900X Anesthesiology, Pain Medicine (Licence: IA MD-48799) | |
Enumeration Date | 2007-03-29 |
Last Update Date | 2022-03-18 |