| NPI | 1124126388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 025401) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 20623) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-01-04 |