NPI | 1922596113 |
---|---|
Former Name | HILLARY MINICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0068900) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 73058) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-24 |
Last Update Date | 2022-11-07 |