NPI | 1043381437 |
---|---|
Former Name | HOLLYNN LEE CUNNINGHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 9421851-1205) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35-086209) |
Enumeration Date | 2006-11-10 |
Last Update Date | 2015-11-16 |