| NPI | 1134507130 | 
|---|---|
| Former Name | LISABETH CLAIRE SCRUGGS | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 80071) | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program | 
| Enumeration Date | 2015-05-11 | 
| Last Update Date | 2018-08-01 |