NPI | 1770568479 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: TX M0144) |
Additional Taxonomies | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: TX M0144) |
207P00000X Emergency Medicine (Licence: TX M0144) | |
Enumeration Date | 2005-12-14 |
Last Update Date | 2022-12-05 |