NPI | 1457705014 |
---|---|
Former Name | REBECCA MARIE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 1457705014) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2016-04-20 |
Last Update Date | 2019-06-25 |