| NPI | 1679734743 |
|---|---|
| Former Name | CARLY MARIE DRAHUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS11593) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT012741) |
| Enumeration Date | 2008-06-22 |
| Last Update Date | 2012-06-14 |