NPI | 1699903518 |
---|---|
Former Name | ROBERTA J. ENES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101265692) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WY TL6302) |
Enumeration Date | 2009-06-30 |
Last Update Date | 2021-09-02 |