NPI | 1285052829 |
---|---|
Former Name | KATHRYN TAYLOR EASTLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0059451) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2014-04-01 |
Last Update Date | 2021-02-04 |