NPI | 1356662670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM MD2049-0999) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 54129) |
Enumeration Date | 2010-06-21 |
Last Update Date | 2024-09-25 |