NPI | 1104042597 |
---|---|
Former Name | CHRISTY LYNN HAUCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01069919) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036.125342) |
207P00000X Emergency Medicine (Licence: OH 57.012518) | |
Enumeration Date | 2007-04-17 |
Last Update Date | 2011-12-16 |