| NPI | 1861439002 |
|---|---|
| Former Name | MARY HAMILTON VALLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: VA 0101102768) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 32199) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: WV 26401) | |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: TN 32199) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2017-07-25 |