NPI | 1720127038 |
---|---|
Former Name | JULIE GAMBLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P1832) |
Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX P1832) |
Enumeration Date | 2007-02-05 |
Last Update Date | 2012-07-23 |