NPI | 1518191618 |
---|---|
Former Name | BRENNA DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A98935) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A98935) |
Enumeration Date | 2009-05-05 |
Last Update Date | 2011-08-29 |