NPI | 1639058795 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 1639453582) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: FL 1932473170) |
Enumeration Date | 2025-09-01 |
Last Update Date | 2025-10-01 |