NPI | 1376003400 |
---|---|
Former Name | JUSTINN MARSHALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MT 137199) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: UT 11888618-1205) |
207P00000X Emergency Medicine (Licence: MT 137199) | |
Enumeration Date | 2019-03-24 |
Last Update Date | 2024-09-19 |