NPI | 1376830380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 75138) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-060569) |
Enumeration Date | 2011-06-29 |
Last Update Date | 2021-01-25 |