NPI | 1801902648 |
---|---|
Former Name | WENDY PARKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD10886) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35-083367) |
207L00000X Anesthesiology (Licence: AR E-3848) | |
Enumeration Date | 2006-08-22 |
Last Update Date | 2007-07-08 |