NPI | 1568811131 |
---|---|
Former Name | SHAILA KAY GREGORY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NE 30759) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA MD-45897) |
207P00000X Emergency Medicine (Licence: NE 7651) | |
Enumeration Date | 2016-06-06 |
Last Update Date | 2020-12-03 |