| NPI | 1063778256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME123885) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: FL ME123885) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2015-09-02 |