NPI | 1407118037 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207PH0002X Emergency Medicine Hospice and Palliative Medicine (Licence: GA 85278) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301100925) |
207P00000X Emergency Medicine (Licence: NC 2015-01358) | |
Enumeration Date | 2012-06-11 |
Last Update Date | 2023-10-26 |