NPI | 1679034870 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX T5504) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 328079) |
Enumeration Date | 2019-03-29 |
Last Update Date | 2024-10-10 |