NPI | 1265699789 |
---|---|
Former Name | CHARIS VAN DUSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 104589) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 51347) |
Enumeration Date | 2008-05-21 |
Last Update Date | 2012-07-26 |