NPI | 1174569156 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: OR MD20308) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD20308) |
Enumeration Date | 2006-06-20 |
Last Update Date | 2010-11-03 |