NPI | 1063951861 |
---|---|
Former Name | EMILY K CRAIG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 1843) |
Additional Taxonomies | 171000000X Military Health Care Provider |
Enumeration Date | 2017-02-14 |
Last Update Date | 2023-07-27 |