| NPI | 1164765756 |
|---|---|
| Former Name | COURTNEY ELIZABETH LANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2016007094) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: AR E-8796) | |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2016-08-02 |