NPI | 1558865204 |
---|---|
Former Name | JESSICA MARY KIRKLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.142361) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-03-19 |
Last Update Date | 2022-07-22 |