| NPI | 1265542450 |
|---|---|
| Former Name | KARICE MARIE BEZDICEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 46249-020) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036113518) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2009-08-04 |