NPI | 1548572944 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101018618) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101018618) |
Enumeration Date | 2010-07-14 |
Last Update Date | 2012-01-03 |