NPI | 1891739082 |
---|---|
Former Name | SUZANNE MARIE SZCZEPANIAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IL 036111716) |
Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: IL 036111716) |
Enumeration Date | 2006-06-16 |
Last Update Date | 2007-09-06 |