NPI | 1952320731 |
---|---|
Former Name | KRISTA D DICKEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: WA MD60189604) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD601898604) |
207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TX M3951) | |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX M3951) | |
Enumeration Date | 2006-07-19 |
Last Update Date | 2021-03-31 |