NPI | 1881199008 |
---|---|
Former Name | STACEY KATHLEEN BARNETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A166587) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-03-28 |
Last Update Date | 2022-09-19 |