| NPI | 1184060428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D87320) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE 1184060428) |
| 207P00000X Emergency Medicine (Licence: VA 0101259724) | |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2019-06-26 |