| NPI | 1275757841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 005485) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX N7157) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MI 5101017012) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-10-06 |