NPI | 1720440696 |
---|---|
Former Name | AMY R O'BRIEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 287945) |
Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: MA 287945) |
208000000X Pediatrics (Licence: MA 287945) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-03-22 |
Last Update Date | 2022-11-23 |