NPI | 1932267499 |
---|---|
Former Name | MICHELLE DAWN FRECKLETON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 5198279-1205) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01061412A) |
Enumeration Date | 2006-12-05 |
Last Update Date | 2007-07-08 |