NPI | 1043700644 |
---|---|
Former Name | JORDAN ASHLEY BROWNING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: OH 34.014732) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
146M00000X Emergency Medical Technician, Intermediate (Licence: OH 0152160) | |
Enumeration Date | 2018-05-18 |
Last Update Date | 2023-07-14 |