NPI | 1528295730 |
---|---|
Former Name | SHANNON A GLADMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0058112) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2009-06-15 |
Last Update Date | 2023-06-01 |