NPI | 1740449933 |
---|---|
Former Name | RICHISA LESSICA SAMELAJOY HAMILTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N6395) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 67775) |
207P00000X Emergency Medicine (Licence: MS 29552) | |
Enumeration Date | 2008-06-03 |
Last Update Date | 2023-09-12 |