NPI | 1356704498 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MT MED-PHYS-LIC-73042) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM MD2018-0895) |
207P00000X Emergency Medicine (Licence: NM 390200000) | |
Enumeration Date | 2016-04-04 |
Last Update Date | 2025-04-09 |