NPI | 1558367995 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME MD14059) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NH 15280) |
Enumeration Date | 2005-06-21 |
Last Update Date | 2021-04-06 |