NPI | 1245673300 |
---|---|
Former Name | EMILY VILLAR ANDRIESSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: LA 301382) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 301382) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-04-09 |
Last Update Date | 2022-09-27 |