NPI | 1922682780 |
---|---|
Former Name | KELSEY TOLBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WY 18650A) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2021-05-07 |
Last Update Date | 2025-08-01 |