NPI | 1407260821 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WV 30060) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101268240) |
207P00000X Emergency Medicine (Licence: SC LL37127) | |
Enumeration Date | 2014-06-13 |
Last Update Date | 2021-07-09 |