NPI | 1992721641 |
---|---|
Former Name | MONIQUE R AVERILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301089423) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35-086356) |
Enumeration Date | 2006-07-14 |
Last Update Date | 2023-05-11 |