NPI | 1881008530 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: KY 52604) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ R74387) |
207PE0004X Emergency Medicine, Emergency Medical Services (Licence: KY 52604) | |
Enumeration Date | 2014-06-19 |
Last Update Date | 2019-09-03 |