NPI | 1972965994 |
---|---|
Former Name | AMELIA BRANNAN HAAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY TP606) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2016-03-28 |
Last Update Date | 2019-08-01 |