NPI | 1306209929 |
---|---|
Former Name | LARISA GRINVALDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101024654) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2016-03-31 |
Last Update Date | 2024-02-07 |