NPI | 1710274410 |
---|---|
Former Name | JULIE MARIE MAIRS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2013021211) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.060358) |
Enumeration Date | 2011-07-01 |
Last Update Date | 2017-01-03 |