NPI | 1770750390 |
---|---|
Former Name | LAURA ERIN BORCHERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 55182) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2008-05-13 |
Last Update Date | 2020-10-09 |