| NPI | 1437787470 |
|---|---|
| Former Name | KATHERINE LEAH DICKERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101280673) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA PENDING) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2024-06-21 |