NPI | 1174573240 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: FL ME150162) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0084717) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2022-05-26 |