| NPI | 1043656796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2016034323) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 9408135) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2016-12-05 |