NPI | 1265883276 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 71138-20) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 65558) |
Enumeration Date | 2016-06-30 |
Last Update Date | 2019-06-27 |