NPI | 1417350364 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME145673) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 292679-1) |
Enumeration Date | 2014-10-07 |
Last Update Date | 2022-05-24 |