NPI | 1841859071 |
---|---|
Former Name | CRYSTAL STEPHANIE GOLDING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MT 109550) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WY 154-T2) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-06-11 |
Last Update Date | 2022-04-19 |