NPI | 1518385152 |
---|---|
Former Name | BENITA JOYCE HURD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX S3136) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 080965) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-01 |
Last Update Date | 2019-11-04 |