NPI | 1518497205 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 13244489-1205) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 271226) |
207PS0010X Emergency Medicine, Sports Medicine (Licence: UT 13244489-1205) | |
Enumeration Date | 2017-06-14 |
Last Update Date | 2023-08-23 |