NPI | 1851770192 |
---|---|
Former Name | JOANN PEARSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX R6871) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11018146A) |
Enumeration Date | 2015-05-19 |
Last Update Date | 2022-01-25 |