NPI | 1639347115 |
---|---|
Former Name | JILLIAN LEE ANSPACH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 045071) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 235319) |
Enumeration Date | 2008-02-18 |
Last Update Date | 2008-02-18 |