NPI | 1639517675 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A149256) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 56235) |
Enumeration Date | 2013-06-12 |
Last Update Date | 2022-07-21 |