NPI | 1114247970 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS018376) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MB09411800) |
Enumeration Date | 2010-06-03 |
Last Update Date | 2024-09-20 |