| NPI | 1952371551 |
|---|---|
| Other Name | BETTY RUTH CARLISLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 230529) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA 18730) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2007-07-08 |