NPI | 1023540135 |
---|---|
Former Name | JENNIFER DANIELLE WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX S0436) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2017-03-28 |
Last Update Date | 2020-02-19 |