NPI | 1528128733 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME86818) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME86818) |
207P00000X Emergency Medicine (Licence: CA A64642) | |
Enumeration Date | 2006-12-11 |
Last Update Date | 2019-08-23 |