| NPI | 1134619463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101026825) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 1134619463) |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2022-06-30 |