| NPI | 1205219045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 82554) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2015019308) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2020-12-15 |