NPI | 1154859841 |
---|---|
Former Name | KATHERINE DANIELLE SLAGA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301509377) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD471160) |
Enumeration Date | 2017-05-25 |
Last Update Date | 2023-07-10 |