NPI | 1164783536 |
---|---|
Former Name | ALYSSA NICOLE RATZLAFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0055387) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 182928) |
Enumeration Date | 2012-06-01 |
Last Update Date | 2015-08-27 |