NPI | 1396233995 |
---|---|
Former Name | JESSICA L EDGECOMB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD61160804) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MDBP.BC.61190735) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-29 |
Last Update Date | 2023-11-14 |