NPI | 1548642036 |
---|---|
Former Name | LAURE BURCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 007687) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant |
Enumeration Date | 2015-06-22 |
Last Update Date | 2019-08-28 |