| NPI | 1023422011 |
|---|---|
| Former Name | NINA MARILYN DESANTIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.131125) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC LL37182) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2023-03-14 |