NPI | 1952340424 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VT 032.0128510) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA051947) |
Enumeration Date | 2006-06-06 |
Last Update Date | 2017-04-14 |