NPI | 1922025808 |
---|---|
Former Name | LAURIE BOYD PEMBERTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS10258) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS013725) |
Enumeration Date | 2006-07-16 |
Last Update Date | 2013-08-21 |