NPI | 1407077282 |
---|---|
Former Name | MARY NELL KIRSCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 57547) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2007010575) |
207P00000X Emergency Medicine (Licence: MO 200800576) | |
Enumeration Date | 2007-05-01 |
Last Update Date | 2024-04-11 |