NPI | 1790954097 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301090769) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301090769) |
207P00000X Emergency Medicine (Licence: IN 01068119A) | |
Enumeration Date | 2008-02-21 |
Last Update Date | 2025-07-12 |