NPI | 1538380365 |
---|---|
Former Name | CYNTHIA L HAENSEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 49412) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO DR.0065373) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2024-09-09 |