NPI | 1760625248 |
---|---|
Former Name | EMILY ELLEN MCDANAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: AL 31682) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2009-04-13 |
Last Update Date | 2012-08-09 |