NPI | 1700142320 |
---|---|
Former Name | COURTNEY OEHLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX R1497) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207L00000X Anesthesiology (Licence: MO 2016004845) | |
Enumeration Date | 2012-04-09 |
Last Update Date | 2017-10-03 |