NPI | 1730486309 |
---|---|
Former Name | AIMEE RENEE MAE WASHINGTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WV 2529) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34-010430) |
Enumeration Date | 2011-02-17 |
Last Update Date | 2014-01-22 |