NPI | 1023512563 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 75319) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 65865) |
207P00000X Emergency Medicine (Licence: MN 29159) | |
Enumeration Date | 2018-03-20 |
Last Update Date | 2021-06-30 |