NPI | 1609547942 |
---|---|
Former Name | CASEY S SELDON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 125.081775) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA 390200000X) |
Enumeration Date | 2021-09-27 |
Last Update Date | 2023-08-31 |