NPI | 1407097827 |
---|---|
Former Name | LEA CREEKMUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM A-2095-17) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2011010488) |
207P00000X Emergency Medicine (Licence: IL 036125848) | |
207P00000X Emergency Medicine (Licence: IN 02003701A) | |
Enumeration Date | 2009-03-13 |
Last Update Date | 2018-03-17 |