NPI | 1740548304 |
---|---|
Former Name | AUNA LEE OTTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX p7795) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2012-05-01 |
Last Update Date | 2013-11-16 |