NPI | 1821593724 |
---|---|
Former Name | VIOLET SAVANNAH PATTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: KY 59016) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: WV 29882) |
207L00000X Anesthesiology (Licence: OH 35.150401) | |
Enumeration Date | 2018-03-24 |
Last Update Date | 2024-09-25 |