NPI | 1457550584 |
---|---|
Former Name | MICHELLE RUTH UNDERKOFLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA OS015069) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA OTO11729) |
Enumeration Date | 2007-07-18 |
Last Update Date | 2014-02-24 |