| NPI | 1952565269 |
|---|---|
| Former Name | COLLEEN ELLIOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60471532) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 53057) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2018-02-05 |