NPI | 1962721654 |
---|---|
Former Name | JOCELYN SCILLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: ND 13070) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA R-8860) |
Enumeration Date | 2010-05-20 |
Last Update Date | 2015-12-23 |