NPI | 1245250885 |
---|---|
Former Name | MICHELLE CANHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036104319) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-104319) |
Enumeration Date | 2006-07-19 |
Last Update Date | 2021-04-30 |