NPI | 1093114472 |
---|---|
Former Name | ALYSSA MARIE VOLD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA 075084) |
Additional Taxonomies | 364SE0003X Clinical Nurse Specialist, Emergency (Licence: IA 075084) |
Enumeration Date | 2014-08-21 |
Last Update Date | 2014-08-21 |