NPI | 1033234109 |
---|---|
Former Name | CHERYL MARIE SLONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME116149) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC LL 28034) |
207P00000X Emergency Medicine (Licence: KY 42136) | |
Enumeration Date | 2007-03-20 |
Last Update Date | 2013-07-05 |