NPI | 1467612044 |
---|---|
Former Name | RYAN MELISSA COWPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 267084) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 62695) |
207L00000X Anesthesiology (Licence: MO 2012032479) | |
Enumeration Date | 2008-06-17 |
Last Update Date | 2021-03-11 |