NPI | 1760606149 |
---|---|
Former Name | KORTNEE BRIE LANNING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: KS 0432501) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2010037966) |
Enumeration Date | 2007-04-13 |
Last Update Date | 2015-03-05 |