NPI | 1194793455 |
---|---|
Former Name | MARITA NICKENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D50332) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC MD19889) |
Enumeration Date | 2006-03-10 |
Last Update Date | 2021-06-26 |