| NPI | 1104355429 |
|---|---|
| Former Name | MARIE IRVIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: FL ME146375) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301112188) |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2023-08-30 |