NPI | 1922341411 |
---|---|
Former Name | LISA MARIE WEBB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35-124372) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2017-00446) |
Enumeration Date | 2013-04-03 |
Last Update Date | 2020-06-04 |