NPI | 1780905679 |
---|---|
Former Name | MICHELLE MCMASTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NJ 25MA09536500) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD451717) |
Enumeration Date | 2010-06-15 |
Last Update Date | 2025-01-08 |