| NPI | 1053556399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 101629) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2018-00161) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2025-04-05 |