NPI | 1730560814 |
---|---|
Former Name | TERIN TECLA EUERLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 60931) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MN 60931) |
Enumeration Date | 2015-06-15 |
Last Update Date | 2020-08-20 |