NPI | 1578874004 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A13896) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 273963) |
207P00000X Emergency Medicine (Licence: MI 5101018843) | |
Enumeration Date | 2010-06-30 |
Last Update Date | 2021-12-01 |