NPI | 1134708019 |
---|---|
Former Name | COLLEEN ALICE CASSIDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 1018452) |
Enumeration Date | 2021-04-06 |
Last Update Date | 2024-03-24 |