| NPI | 1225475650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR DO188109) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| 282N00000X General Acute Care Hospital | |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2018-08-30 |