NPI | 1275037541 |
---|---|
Former Name | DANIELLE MCKIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2021-01342) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 63989) |
Enumeration Date | 2018-03-21 |
Last Update Date | 2021-09-18 |