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 | 2024-05-28 |