| NPI | 1831349943 |
|---|---|
| Former Name | THERESA M GALLUP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 35122647) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2023-11-03 |