NPI | 1013063635 |
---|---|
Former Name | ROYCE PETERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: OK 4978) |
Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MN 61841) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL-911) | |
Enumeration Date | 2007-01-26 |
Last Update Date | 2018-11-15 |