NPI | 1427793769 |
---|---|
Former Name | SIERRA MULLEN GAFFNEW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2024-02600) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC GAFF-5AEFMF) |
Enumeration Date | 2022-05-02 |
Last Update Date | 2024-09-25 |