NPI | 1740390574 |
---|---|
Former Name | LOUANNE LANE TEN KATE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL MD.47637) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME164287) |
207P00000X Emergency Medicine (Licence: NY 236573) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2023-11-10 |