NPI | 1639354079 |
---|---|
Former Name | KRISTINE SWINTON MAGABO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD433234) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 23811) |
Enumeration Date | 2008-01-04 |
Last Update Date | 2022-04-08 |