NPI | 1275824435 |
---|---|
Former Name | DANIELLE HOLLEY CARROLL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 66121) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 67174) |
207P00000X Emergency Medicine (Licence: KY C0755) | |
207P00000X Emergency Medicine (Licence: WA MD60476134) | |
Enumeration Date | 2011-04-22 |
Last Update Date | 2023-06-29 |