| NPI | 1619328598 |
|---|---|
| Former Name | KATHERINE MEGAN TUCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME147370) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT211777) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2023-06-22 |