NPI | 1902156839 |
---|---|
Former Name | LINDSEY MICHELLE GADDIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2017011897) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 1875751164) |
Enumeration Date | 2012-09-18 |
Last Update Date | 2019-08-19 |