| NPI | 1871542902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: FL ME144621) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME144621) |
| 207P00000X Emergency Medicine (Licence: NC 9700023) | |
| 207P00000X Emergency Medicine (Licence: SC 30296) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: SC 30296) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2021-06-28 |