NPI | 1902076706 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 54578) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 80910) |
207P00000X Emergency Medicine (Licence: CA C172605) | |
Enumeration Date | 2008-03-07 |
Last Update Date | 2023-01-11 |