| NPI | 1346483567 |
|---|---|
| Former Name | COURTNEY ELIZABETH TERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: VA 0101250543) |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2014-05-13 |