| NPI | 1194088047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2016-02272) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 210413) |
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: NC 210413) | |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2022-01-11 |