NPI | 1891733549 |
---|---|
Former Name | SUZANNE JENNIFER DONICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-093476) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 37868-020) |
Enumeration Date | 2006-06-03 |
Last Update Date | 2022-09-19 |