| NPI | 1730446766 |
|---|---|
| Former Name | MAUREEN MEGAN GORDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NE 32434) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036137208) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2021-05-05 |