NPI | 1841600483 |
---|---|
Former Name | DEANNA MINISEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL MD36438) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2014-05-05 |
Last Update Date | 2019-02-20 |