| NPI | 1053792432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 322340) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD462567) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2020-08-03 |