NPI | 1427287887 |
---|---|
Former Name | AMY LYNN GARRISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR E-6836) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E-6836) |
Enumeration Date | 2009-07-07 |
Last Update Date | 2015-03-06 |