NPI | 1164651592 |
---|---|
Former Name | ELIZABETH MARIA BORNHORST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0069199) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI MD14243) |
Enumeration Date | 2009-07-07 |
Last Update Date | 2022-09-08 |