| NPI | 1790910347 |
|---|---|
| Former Name | TERESA MATEJOVSKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 101251637) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2012-06-14 |