NPI | 1639659568 |
---|---|
Former Name | DARCIE C BRUCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: GA 8988) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant |
367H00000X Anesthesiologist Assistant | |
Enumeration Date | 2018-08-20 |
Last Update Date | 2019-09-26 |