NPI | 1811524903 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VT 042.0018806) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 338167) |
207P00000X Emergency Medicine (Licence: CA A196077) | |
207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: VT 042.0018806) | |
Enumeration Date | 2020-03-26 |
Last Update Date | 2025-08-07 |