NPI | 1679558787 |
---|---|
Former Name | STEPHANIE HARRISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: IN 01080270A) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0060671) |
Enumeration Date | 2005-12-12 |
Last Update Date | 2019-07-09 |