NPI | 1275981839 |
---|---|
Former Name | GEORGIA PAUL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 90420) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10055902) |
Enumeration Date | 2016-05-24 |
Last Update Date | 2022-01-07 |