NPI | 1821148123 |
---|---|
Former Name | SARA ELIZABETH TIRRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2008014373) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2005016345) |
Enumeration Date | 2007-01-11 |
Last Update Date | 2021-06-30 |