NPI | 1902197320 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VT 042.0014100) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 295348) |
Enumeration Date | 2011-04-20 |
Last Update Date | 2025-07-03 |