NPI | 1831456532 |
---|---|
Former Name | AJA AUTUMN BJRZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 16572) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NV 16572) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-04-19 |
Last Update Date | 2022-07-21 |