NPI | 1982612305 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA 61119928) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D90079) |
207P00000X Emergency Medicine (Licence: IN 01084225A) | |
207P00000X Emergency Medicine (Licence: GA 54020) | |
Enumeration Date | 2006-08-03 |
Last Update Date | 2021-04-29 |