NPI | 1063971075 |
---|---|
Former Name | KATIE LOU PRIESTLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS19359) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0102206450) |
208D00000X General Practice (Licence: VA 0102206450) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-19 |
Last Update Date | 2024-07-01 |