NPI | 1902821358 |
---|---|
Former Name | TAMMY BUDD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 41093) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01062292A) |
Enumeration Date | 2006-07-13 |
Last Update Date | 2020-12-04 |