NPI | 1477182459 |
---|---|
Former Name | EMILY ALEXANDRA SMALLWOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036166532) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2020-04-02 |
Last Update Date | 2023-08-17 |