NPI | 1184611535 |
---|---|
Former Name | AIMEE JUNE BLACK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 218781) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 218781) |
Enumeration Date | 2005-09-30 |
Last Update Date | 2023-03-07 |