NPI | 1932720224 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MT MED-PHYS-LIC-126078) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ R77968) |
Enumeration Date | 2020-04-28 |
Last Update Date | 2023-09-26 |