NPI | 1598213886 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 53867) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9109799) |
Enumeration Date | 2016-09-14 |
Last Update Date | 2016-12-10 |