NPI | 1689988040 |
---|---|
Former Name | MARIE ANNE VIOLETTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34010717) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 3356) |
207P00000X Emergency Medicine (Licence: VA 0102204514) | |
Enumeration Date | 2010-07-27 |
Last Update Date | 2022-11-30 |