NPI | 1770853681 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G21765) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA G21765) |
Enumeration Date | 2012-01-09 |
Last Update Date | 2012-01-09 |