NPI | 1447839881 |
---|---|
Former Name | EMILY MEDHUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: IL 125.079903) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 289566) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-04-05 |
Last Update Date | 2024-09-19 |