NPI | 1730321712 |
---|---|
Former Name | CHRISTEN JANAE FLACK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2024016416) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX P5334) |
Enumeration Date | 2009-04-06 |
Last Update Date | 2024-05-15 |