NPI | 1962630574 |
---|---|
Former Name | MIRANDA E WIRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01072349A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01072349A) |
Enumeration Date | 2009-06-23 |
Last Update Date | 2022-06-23 |