NPI | 1053313601 |
---|---|
Former Name | LAURI BETH DICKINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM MD2008-0795) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 10683) |
207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NV 10683) | |
Enumeration Date | 2005-08-12 |
Last Update Date | 2014-08-12 |