| NPI | 1861011249 |
|---|---|
| Former Name | ABAGAYLE ELIZABETH RENKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD480303) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: PA 188197) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2023-05-08 |