Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | C1-0012116 | DE |
NPI | 1164841250 |
---|---|
Provider Name | Emily Hegamyer |
First Address | Wilmington, DE 19899-0191 |
Second Address | Wilmington, DE 19803 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2014 |
Last Update Date | 18/05/2018 |