NPI | 1194288506 |
---|---|
Former Name | RONNIE JETT CASE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 336027) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 29362) |
207PE0004X Emergency Medicine, Emergency Medical Services (Licence: LA 336027) | |
Enumeration Date | 2019-04-11 |
Last Update Date | 2023-07-06 |