NPI | 1962764647 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 62165) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ D06242065) |
207P00000X Emergency Medicine (Licence: CO DR0054985) | |
Enumeration Date | 2012-06-08 |
Last Update Date | 2022-08-23 |