NPI | 1982982666 |
---|---|
Former Name | ALENA JANE SERGEJEV |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A133970) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 259374) |
Enumeration Date | 2011-07-28 |
Last Update Date | 2015-03-13 |