NPI | 1366466294 |
---|---|
Former Name | MARLA ANN DEPOLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS5788) |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: FL os5788) |
Enumeration Date | 2006-07-26 |
Last Update Date | 2016-03-23 |