| NPI | 1467207399 |
|---|---|
| Former Name | ELIZABETH REAVES HOUSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC RTL24-0461) |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2024-05-28 |