NPI | 1720221815 |
---|---|
Former Name | AYANA CHASE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: VA 0101276595) |
Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: GA 071673) |
Enumeration Date | 2009-04-20 |
Last Update Date | 2023-08-08 |