NPI | 1649697095 |
---|---|
Former Name | ELAINE SPAETH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101282566) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A154581) |
207L00000X Anesthesiology (Licence: UT 12514899-1205) | |
Enumeration Date | 2014-03-24 |
Last Update Date | 2024-08-09 |