NPI | 1083938922 |
---|---|
Former Name | CAROLINE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 56425) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2012014199) |
Enumeration Date | 2010-03-22 |
Last Update Date | 2016-01-18 |