NPI | 1689936239 |
---|---|
Former Name | SHANA KRISTINA PEAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D80253) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC MD043222) |
Enumeration Date | 2012-06-11 |
Last Update Date | 2022-11-30 |