NPI | 1366888935 |
---|---|
Former Name | GAIL LYNNE WILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2020-03732) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2020-03732) |
Enumeration Date | 2013-05-22 |
Last Update Date | 2024-04-16 |