NPI | 1598052862 |
---|---|
Former Name | EMILY A EVERINGHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 90663) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NH 17690) |
207P00000X Emergency Medicine (Licence: MI 5101019415) | |
Enumeration Date | 2011-07-07 |
Last Update Date | 2021-12-21 |