NPI | 1992095418 |
---|---|
Former Name | THELTONIA Y HOWARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 66186) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX N7434) |
Enumeration Date | 2011-04-18 |
Last Update Date | 2024-03-04 |