NPI | 1518071471 |
---|---|
Former Name | MARNA RACENE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 43522) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MD423192) |
207L00000X Anesthesiology (Licence: IL 036.121054) | |
207L00000X Anesthesiology (Licence: CO DR.0052234) | |
Enumeration Date | 2006-08-18 |
Last Update Date | 2016-04-13 |