NPI | 1629186812 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 021607) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA LA201607) |
Enumeration Date | 2006-08-28 |
Last Update Date | 2017-12-07 |