NPI | 1720386428 |
---|---|
Former Name | ASHLEY ELIZABETH DEBARBA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036.136393) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 336.097692) |
Enumeration Date | 2011-03-03 |
Last Update Date | 2015-06-30 |