NPI | 1861798548 |
---|---|
Former Name | JESSICA LYNN PRIOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID M-14063) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ R73922) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-01-28 |
Last Update Date | 2024-07-24 |