NPI | 1336768555 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 81824) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 73135) |
Enumeration Date | 2020-04-09 |
Last Update Date | 2023-06-30 |