| NPI | 1457333650 |
|---|---|
| Other Name | DOROTHY SHANNON WATERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 33210) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL 26064) |
| 207R00000X Internal Medicine (Licence: ID M-13371) | |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2022-02-09 |