NPI | 1437540861 |
---|---|
Former Name | CORINNE ASHLIE DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35.137628) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101260804) |
208D00000X General Practice (Licence: VA 0101260804) | |
Enumeration Date | 2015-02-06 |
Last Update Date | 2022-10-17 |