| NPI | 1992963953 |
|---|---|
| Former Name | MARIANNE LEE WHEATON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD434447) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 096643) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2015-12-23 |