NPI | 1992237846 |
---|---|
Former Name | KATHERINE BRAXTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 72287) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 320984) |
207P00000X Emergency Medicine (Licence: SC 85438) | |
Enumeration Date | 2017-03-30 |
Last Update Date | 2024-07-10 |