NPI | 1295171494 |
---|---|
Former Name | ELIZABETH ANN PETERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 285059-1) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2013-05-14 |
Last Update Date | 2016-08-26 |