NPI | 1134533177 |
---|---|
Former Name | ALEXANDRA GREEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 0058004) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2014-06-18 |
Last Update Date | 2021-12-13 |