NPI | 1861597742 |
---|---|
Former Name | SHELLY L BRYANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 42916) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR E4356) |
Enumeration Date | 2006-09-14 |
Last Update Date | 2024-05-31 |