NPI | 1801328141 |
---|---|
Former Name | KRISTA LUKOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 79198) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101269551) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-03-28 |
Last Update Date | 2024-09-17 |