| NPI | 1265759922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA DO-04613) |
| Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: WI W4301018379508) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2023-10-10 |