| NPI | 1225569148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY TP497) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX 00) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2020-08-14 |