NPI | 1790103471 |
---|---|
Former Name | COURTNEY MERYL LOMKER ELM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 61515) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 67041-20) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-03-31 |
Last Update Date | 2022-07-21 |