NPI | 1548412745 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A113631) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35-121643) |
207Q00000X Family Medicine (Licence: CA A113631) | |
Enumeration Date | 2008-10-21 |
Last Update Date | 2020-06-12 |