NPI | 1659544641 |
---|---|
Former Name | BROOKE LEANNE WOMBLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P2871) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2008-04-10 |
Last Update Date | 2024-05-31 |