NPI | 1851525133 |
---|---|
Former Name | AMANDA M KROLL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: OH 67.000155) |
Additional Taxonomies | 174400000X Specialist |
Enumeration Date | 2009-05-14 |
Last Update Date | 2015-10-08 |