NPI | 1982674396 |
---|---|
Former Name | AMIE N. RACINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2007-01797) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 20906) |
207R00000X Internal Medicine (Licence: NC 2007-01797) | |
208D00000X General Practice (Licence: NC 2007-01797) | |
Enumeration Date | 2006-01-26 |
Last Update Date | 2022-12-12 |