NPI | 1770716938 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0102202732) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 192120) |
207Q00000X Family Medicine (Licence: NC 192120) | |
207P00000X Emergency Medicine (Licence: VA 0102202732) | |
Enumeration Date | 2009-09-03 |
Last Update Date | 2014-03-25 |