NPI | 1346330339 |
---|---|
Former Name | JESSICA ANN GEDRAITIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101265848) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-122950) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2006-10-13 |
Last Update Date | 2020-07-01 |