NPI | 1952369209 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD437841) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A88375) |
207P00000X Emergency Medicine (Licence: PA MD437841) | |
Enumeration Date | 2006-05-03 |
Last Update Date | 2024-04-30 |