NPI | 1619170230 |
---|---|
Former Name | JAMIE ANN METCALF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N0975) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX N0975) |
207Q00000X Family Medicine (Licence: OK 24036) | |
Enumeration Date | 2007-06-10 |
Last Update Date | 2018-03-27 |