NPI | 1457872764 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PR 23174) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A177136) |
208D00000X General Practice (Licence: PR 34725) | |
Enumeration Date | 2017-06-28 |
Last Update Date | 2024-07-13 |