NPI | 1952806564 |
---|---|
Former Name | CARA SPRAGUE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 62908) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 64091) |
Enumeration Date | 2018-03-26 |
Last Update Date | 2021-07-02 |