NPI | 1003377334 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: TX T6969) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX T6969) |
Enumeration Date | 2019-03-28 |
Last Update Date | 2024-06-25 |