NPI | 1164868386 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME128228) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA10193100) |
207P00000X Emergency Medicine (Licence: GA 076598) | |
207P00000X Emergency Medicine (Licence: MI 4301106042) | |
Enumeration Date | 2013-05-14 |
Last Update Date | 2017-10-19 |