NPI | 1164844577 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A14890) |
Additional Taxonomies | 171000000X Military Health Care Provider |
Enumeration Date | 2014-01-21 |
Last Update Date | 2024-11-13 |