NPI | 1962629006 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: ND 11175) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 49742) |
207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: MN 49742) | |
Enumeration Date | 2007-04-19 |
Last Update Date | 2025-09-23 |