NPI | 1477590867 |
---|---|
Former Name | CHRISTINA LICUANAN DITHMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 58542) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 200301507) |
Enumeration Date | 2006-06-02 |
Last Update Date | 2013-07-16 |