| NPI | 1134480866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 183368) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ID M-14035) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2022-01-04 |