NPI | 1518919869 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 64550) |
Additional Taxonomies | 207PS0010X Emergency Medicine, Sports Medicine (Licence: RI MD12166) |
207P00000X Emergency Medicine (Licence: RI MD12166) | |
207P00000X Emergency Medicine (Licence: PA MD426866) | |
Enumeration Date | 2006-05-16 |
Last Update Date | 2020-10-08 |