| NPI | 1245673961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 294102) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD462853) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2022-09-07 |