| NPI | 1942514229 |
|---|---|
| Former Name | ANNE MARIE WALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DE C2-0011053) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2014-09-03 |