NPI | 1497043103 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: MO 2022014782) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101019359) |
Enumeration Date | 2011-07-14 |
Last Update Date | 2023-10-12 |