NPI | 1457677312 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: WA MD60351849) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125056982) |
Enumeration Date | 2010-04-15 |
Last Update Date | 2013-07-23 |