NPI | 1053603068 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C191782) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 287928) |
207P00000X Emergency Medicine (Licence: MD D0079565) | |
Enumeration Date | 2011-05-09 |
Last Update Date | 2023-12-21 |