NPI | 1992149538 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX R2388) |
Additional Taxonomies | 208D00000X General Practice (Licence: FL UO 3668) |
207P00000X Emergency Medicine (Licence: NY 207P0000X) | |
Enumeration Date | 2013-04-25 |
Last Update Date | 2023-10-27 |