NPI | 1740269976 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IA 28765) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA 28765) |
Enumeration Date | 2006-01-16 |
Last Update Date | 2022-01-20 |