NPI | 1043234024 |
---|---|
Former Name | ALICE M MITCHELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01070795A) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 200400555) |
2085U0001X Radiology, Diagnostic Ultrasound (Licence: NC 200400555) | |
Enumeration Date | 2006-07-26 |
Last Update Date | 2015-03-02 |