NPI | 1073046157 |
---|---|
Former Name | KRISTIN DEMOSTHENES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 84616) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 59117) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-04-06 |
Last Update Date | 2020-06-19 |