NPI | 1790280436 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME166614) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 92341) |
207P00000X Emergency Medicine (Licence: IL 125072384) | |
Enumeration Date | 2018-03-26 |
Last Update Date | 2024-08-14 |