NPI | 1922368208 |
---|---|
Former Name | CAROL LYNN STITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: OH 67.000206) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant |
Enumeration Date | 2012-05-21 |
Last Update Date | 2022-12-05 |