NPI | 1669908281 |
---|---|
Former Name | LINDSEY MARIE MCKISSICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2020-02811) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2017-05-02 |
Last Update Date | 2024-06-04 |