NPI | 1093456600 |
---|---|
Former Name | ISABEL SHIDLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.153599) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2022-04-06 |
Last Update Date | 2025-05-16 |