NPI | 1013256569 |
---|---|
Former Name | CATHERINE ELIZABETH FAIRGRIEVE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 13305488-1204) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NE 8905) |
2255A2300X Specialist/Technologist Athletic Trainer (Licence: WA A1 60208032) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-02-04 |
Last Update Date | 2024-03-04 |