NPI | 1316189111 |
---|---|
Former Name | LAURA L REDIG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA 4269) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2009-03-25 |
Last Update Date | 2015-03-19 |