NPI | 1265811590 |
---|---|
Former Name | ELIZABETH RUTH COOMBS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TN 56703) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 56703) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-05-19 |
Last Update Date | 2018-06-28 |