| NPI | 1093940413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2011-01945) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 48747) |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2023-07-14 |