NPI | 1720002280 |
---|---|
Former Name | MISHUN DELIESE CHILDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301060250) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35.081724) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2014-01-07 |