NPI | 1912297847 |
---|---|
Former Name | LINDSAY MARIE MATNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 325175) |
Additional Taxonomies | 208D00000X General Practice (Licence: WV 2657) |
Enumeration Date | 2011-04-12 |
Last Update Date | 2021-01-13 |