NPI | 1447695655 |
---|---|
Former Name | LILY ANN TRUNCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0060347) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NH 17953) |
Enumeration Date | 2013-05-01 |
Last Update Date | 2021-06-04 |