NPI | 1467060400 |
---|---|
Former Name | EMILY ROSE FOWLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2020-07-15 |
Last Update Date | 2024-07-23 |