NPI | 1679894224 |
---|---|
Former Name | JESSICA CORTAZZO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 83316) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME125728) |
207L00000X Anesthesiology (Licence: NJ 25MA09248700) | |
Enumeration Date | 2010-06-17 |
Last Update Date | 2024-09-16 |