| NPI | 1790218246 |
|---|---|
| Former Name | TENNESSEE NATHANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TX S2726) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX S2726) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2020-01-29 |