NPI | 1558533430 |
---|---|
Former Name | EMILY LOUISE ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: VT 0420012590) |
Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MT201278) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-03-31 |
Last Update Date | 2013-06-23 |