NPI | 1912041575 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MB08173700) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS016319) |
207P00000X Emergency Medicine (Licence: VA 0102201934) | |
207P00000X Emergency Medicine (Licence: FL OS10142) | |
Enumeration Date | 2007-02-16 |
Last Update Date | 2023-03-23 |