| NPI | 1154813053 |
|---|---|
| Former Name | CLAIRE ELLEN DEPEW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD472627) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2022-12-20 |