NPI | 1396125134 |
---|---|
Former Name | JEAN MEREDITH KURTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 61687) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-06-07 |
Last Update Date | 2020-01-10 |