NPI | 1689917171 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A148310) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 55279) |
207P00000X Emergency Medicine (Licence: MI 4301103520) | |
Enumeration Date | 2013-04-03 |
Last Update Date | 2022-07-21 |