NPI | 1811382047 |
---|---|
Former Name | ROZALIN DICKSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 71398) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN RP27690) |
207L00000X Anesthesiology (Licence: MN 60722) | |
Enumeration Date | 2015-04-03 |
Last Update Date | 2019-09-24 |