NPI | 1780999359 |
---|---|
Former Name | LEILA CHEYENNE SOBIENIAK-WISEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 64038-20) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN MD0000051526) |
207P00000X Emergency Medicine (Licence: CA A118842) | |
Enumeration Date | 2010-08-08 |
Last Update Date | 2015-06-30 |