NPI | 1790195360 |
---|---|
Former Name | ESTHER LEE HOUSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 04011) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 04011) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-05-05 |
Last Update Date | 2018-06-06 |