| NPI | 1578792578 |
|---|---|
| Former Name | JANAE ELAINE PHELPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P5613) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2009-07-11 |
| Last Update Date | 2013-03-11 |