NPI | 1982047718 |
---|---|
Former Name | KEDIA ACINTHIA GREEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D81524) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2013-04-11 |
Last Update Date | 2019-06-04 |