NPI | 1578017083 |
---|---|
Former Name | LISA BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME140990) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A167393) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN23474) | |
Enumeration Date | 2016-08-12 |
Last Update Date | 2021-03-31 |