NPI | 1538484944 |
---|---|
Former Name | MEGAN ANASTASIA CLAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 304469) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CO 50447) |
2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: TX P6027) | |
Enumeration Date | 2010-03-30 |
Last Update Date | 2022-07-21 |