NPI | 1275037244 |
---|---|
Former Name | DANA BROOKE WATSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: AL MD.44362) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2021-01511) |
207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NC 2021-01511) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-22 |
Last Update Date | 2022-06-19 |