| NPI | 1811302201 |
|---|---|
| Former Name | ELISE MARGARET HEERINGA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 66606) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.142333) |
| 207P00000X Emergency Medicine (Licence: WI 76631-20) | |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2022-06-14 |