NPI | 1194017012 |
---|---|
Former Name | KARA J. GASTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VT 042.0013262) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2011-05-11 |
Last Update Date | 2015-10-14 |