NPI | 1336569169 |
---|---|
Former Name | TALOR ELYSE IBERSHOFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME129220) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2014-04-20 |
Last Update Date | 2022-07-21 |