NPI | 1649443607 |
---|---|
Former Name | AMBER W HALLMARK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 40153) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA ML002812) |
Enumeration Date | 2008-04-10 |
Last Update Date | 2017-01-23 |