NPI | 1649566712 |
---|---|
Former Name | ASHLEE ELLEN KRISKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301099158) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 251200) |
207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MI 4301099158) | |
Enumeration Date | 2011-06-27 |
Last Update Date | 2016-05-06 |