NPI | 1679133300 |
---|---|
Former Name | HALEY ELISE MEHALIK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 34.015845) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-06-14 |
Last Update Date | 2022-05-31 |