NPI | 1508429648 |
---|---|
Former Name | JENNIFER K DALE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01089435A) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ R77317) |
207P00000X Emergency Medicine (Licence: AZ 65773) | |
Enumeration Date | 2019-04-15 |
Last Update Date | 2023-12-29 |