| NPI | 1073769568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 68810) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME102408) |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2022-04-20 |