NPI | 1255470266 |
---|---|
Former Name | AMBER LYNN SHIELDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0049630) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM 2006-0373) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2015-11-19 |