| NPI | 1245659119 |
|---|---|
| Former Name | JANELLE RENEE ESTRADA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 007206) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2023-09-01 |