NPI | 1538694757 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 41123) |
Additional Taxonomies | 207PS0010X Emergency Medicine Sports Medicine (Licence: SC 41123) |
Enumeration Date | 2017-04-25 |
Last Update Date | 2020-07-08 |