NPI | 1790981751 |
---|---|
Former Name | DEANNA KLESNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60588908) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI MD14179) |
207P00000X Emergency Medicine (Licence: TX N5783) | |
Enumeration Date | 2007-06-26 |
Last Update Date | 2021-08-24 |