NPI | 1588223879 |
---|---|
Former Name | NATALIE JEAN TULLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: CA A196477) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-06-10 |
Last Update Date | 2024-08-01 |