NPI | 1508857905 |
---|---|
Former Name | TRACEY L MCINTYRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301505849) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01087544A) |
207P00000X Emergency Medicine (Licence: IL 036095011) | |
207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: IL 036095011) | |
Enumeration Date | 2005-11-03 |
Last Update Date | 2022-04-28 |