NPI | 1205153491 |
---|---|
Former Name | ELIZABETH JANE EMBURY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL 122474) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207L00000X Anesthesiology (Licence: TN MD0000049056) | |
207L00000X Anesthesiology (Licence: GA 073115) | |
Enumeration Date | 2010-04-27 |
Last Update Date | 2015-10-07 |