NPI | 1073044913 |
---|---|
Former Name | LAURIE NOSBUSCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036155203) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-070639) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-03-22 |
Last Update Date | 2021-07-09 |