NPI | 1578390019 |
---|---|
Former Name | ANDREA CECILIA GRAEBE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA08194600) |
Additional Taxonomies | 246Z00000X Specialist/Technologist, Other (Licence: NJ 25MA08194600) |
Enumeration Date | 2024-09-18 |
Last Update Date | 2024-09-18 |