NPI | 1639708753 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD224158) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 322401) |
Enumeration Date | 2020-04-02 |
Last Update Date | 2025-07-28 |