NPI | 1609196880 |
---|---|
Former Name | DANA RENEE HOMMEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301096317) |
Additional Taxonomies | 208600000X Surgery (Licence: MI 4301096317) |
Enumeration Date | 2010-06-10 |
Last Update Date | 2018-04-09 |