NPI | 1538301676 |
---|---|
Former Name | YVONNE EZEALA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D73679) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA09510400) |
Enumeration Date | 2009-04-06 |
Last Update Date | 2021-06-16 |