NPI | 1356575179 |
---|---|
Former Name | LAURA ELISABETH HATTOX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY R2219) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2009-05-07 |
Last Update Date | 2011-07-21 |