NPI | 1841339835 |
---|---|
Former Name | ALICIA L SHOOK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2011-01733) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NM MD2007-0578) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2017-03-15 |