NPI | 1720120314 |
---|---|
Former Name | COURTNEY PROTZER HOMOLYA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 42854) |
Additional Taxonomies | 282NC0060X General Acute Care Hospital, Critical Access (Licence: KY IP913) |
Enumeration Date | 2007-02-12 |
Last Update Date | 2010-06-30 |